Fairbanks Medical Group

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

FAIRBANKS MEDICAL GROUP

Practice address

16089 San Dieguito Rd
H102
Rancho Santa Fe, CA 92067

Phone

(858) 255-1969

NPI assigned

Oct 21, 2019

Last updated

Oct 21, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carter H Sigmon, MDNPI 1760684757

Title

President

Phone

(858) 255-1969

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carter Harrison Sigmon, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Rancho Santa Fe, CA
  • NPI 1760684757
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1780227918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9227",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920674227",
            "telephone_number": "858-255-1969",
            "fax_number": "858-759-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16089 SAN DIEGUITO RD",
            "address_2": "H102",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "858-255-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "SIGMON",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-255-1969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Doyle, MD
• Taylor Duncan, DC
• Emergency and Acute Care Medical Corporation
• Azar Eteminan
• Eucalyptus Home Care LLC
• Cara Fuhrman, ND
• Alexander George, D.D.S.
• Sara G Gilman, M.F.T.
• Deborah Leah Goodman, M.D., PH.D.
• Charles E Graham, M.D.

• Medical Specialty Clinic/Center in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.