Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles B. Fishman, MD

Individual provider Dermatology Physician · NPI 1194825752

Charles B. Fishman, MD is a Dermatology in San Luis Obispo, California. Graduated from Indiana University School of Medicine in 1968, 58 years ago. Practices with San Luis Dermatology, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
58
Trained at
Indiana University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1551 Bishop St Ste 410
San Luis Obispo, CA 93401-4635
Phone: (805) 541-4180
Fax: (805) 541-2542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence C 31365 (CA)

Record details

NPI number1194825752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1968 (58 years in practice)
Group practice San Luis Dermatology, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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