ZACHARY FAIRBROOK (NPI# 1346640513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346640513 |
| Entity Type | Individual |
| Full Name | ZACHARY FAIRBROOK |
| Practice Address |
1332 Drake Dr Apt B Davis CA 95616-0865 |
| Practice Telephone | 2064198490 |
| Mailing Telephone | 2064198490 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1332 DRAKE DR APT B |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-0865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851928899 | Yasmin Gabriella Khouri | Student in an Organized Health Care Education/Training Program | 2503 Regatta Ct, Davis, CA 95618-6412 | 2020-03-26 |
| 1467913624 | Alexandra Mullen | Student in an Organized Health Care Education/Training Program | 2030 Sutter Pl Ste 2000, Davis, CA 95616-6216 | 2019-03-28 |
| 1922506633 | Alton Skaggs | Student in an Organized Health Care Education/Training Program | 1625 La Habra Ct, Davis, CA 95618-6324 | 2018-01-28 |
| 1881142842 | Natalia Liene Duarte | Student in an Organized Health Care Education/Training Program | 4916 Cowell Blvd, Davis, CA 95618-4405 | 2016-09-19 |
| 1306095906 | Adam Quest | Student in an Organized Health Care Education/Training Program | 949 Ponderosa Pl, Davis, CA 95616-2140 | 2008-09-18 |
| 1356322903 | Aimee Sisson | Student in an Organized Health Care Education/Training Program | 1 Shields Ave, Uc Davis Master of Public Health Program, Davis, CA 95616-5270 | 2005-11-10 |
| 1760965313 | Zelikha Izmarai | Student in an Organized Health Care Education/Training Program | 212 I St, Davis, CA 95616-4213 | 2018-09-10 |
| 1760900880 | Alex Stepaniuk | Student in an Organized Health Care Education/Training Program | 212 I St, Davis, CA 95616-4213 | 2017-09-08 |
| 1548781891 | Kristine C Meade | Student in an Organized Health Care Education/Training Program | 2030 Sutter Pl, Davis, CA 95616-6212 | 2017-06-27 |
| 1831624410 | Isha Kaur Mayall | Student in an Organized Health Care Education/Training Program | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-04-20 |
| Find all providers in DAVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.