Robert Irl Fishburn, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A24395 Issued in CA

Practice address

100 Casa St
Suite C
San Luis Obispo, CA 93405-1883

Phone

(805) 541-1932

Fax

(805) 541-1653

NPI assigned

Aug 17, 2005

Last updated

Jul 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • Lompoc, CA
  • NPI 1922038173
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1508858465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 9697",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900849697",
            "telephone_number": "949-721-6520",
            "fax_number": "949-721-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASA ST",
            "address_2": "SUITE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051883",
            "telephone_number": "805-541-1932",
            "fax_number": "805-541-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBURN",
        "first_name": "ROBERT",
        "middle_name": "IRL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A24395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Choice Physician Partners (Primary Care at Sierra Vista)
• First Choice Physician Partners (FCPP-Central Coast Family Health-SLO)
• First Choice Physician Partners (Central Coast Associated Physicians Inc)
• First Choice Physician Partners (Obstetrics and Gynecology at Sierra Vista)
• James Brian Fishback, PH.D.
• Charles B. Fishman, M.D.
• Sarah Fishman
• Dennis Craig Fitch, DDS
• Kelly Irene Fitzgerald, LMFT
• Karen Flaherty

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.