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

Dr. Michael P Heffernan, MD

Individual provider Dermatology Physician · NPI 1518923432

Dr. Michael P Heffernan, MD is a Dermatology in San Luis Obispo, California. Graduated from University of Michigan Medical School in 1993, 33 years ago. Practices with San Luis Dermatology, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California, Indiana and Ohio.

Years since qualifying
33
Trained at
University of Michigan Medical School
Licensed in
CA, IN, OH
In the registry since
2006
Specialties on file
3
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

15 Santa Rosa St
San Luis Obispo, CA 93405-1811
Phone: (805) 541-2650
Fax: (805) 541-4043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G80065 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 35074557 (OH)
Dermatology Physician Taxonomy 207N00000X · Licence 01072447A (IN)

Record details

NPI number1518923432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESOctober 13, 2014

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1993 (33 years in practice)
Group practice San Luis Dermatology, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Luis Obispo