Charles B. Fishman, M.D., a Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C 31365 Issued in CA

Legal business name

CHARLES B. FISHMAN, M.D., A PROFESSIONAL CORPORATION

Practice address

1551 Bishop St
Suite 410
San Luis Obispo, CA 93401-4635

Phone

(805) 541-4180

Fax

(805) 541-2542

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Charles B. Fishman, M. D.

Title

President

Phone

(805) 541-4180

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Lindvall Aquino, MD

  • Dermatology Physician
  • San Luis Obispo, CA
  • NPI 1063781557
  NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1255528113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "address_2": "SUITE 410",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-541-4180",
            "fax_number": "805-541-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "address_2": "SUITE 410",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-541-4180",
            "fax_number": "805-541-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B. FISHMAN, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-541-4180",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C 31365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "DD8042",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID NUMBER",
            "identifier": "W18438",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Chanak, DO
• Camille Yvette Chandler, D.O.
• Hannah Chandler
• Marie Annette Chaney, LMFT #120453
• Vicki L Charbonneau, NP, CNM
• Charles L. Fulbeck, M.D., Inc
• Terri Chase
• Andrea Chavez Trejo, MSW, ASW
• Michele Dayana Chavez-Michel
• Elizabeth Chavez

• Dermatology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.