CHARLES L. FULBECK, M.D. – NPI #1558443440
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CHARLES L. FULBECK, M.D. is a provider located in SAN LUIS OBISPO, CA. NPPES has assigned the NPI number 1558443440 to CHARLES L. FULBECK, M.D. on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHARLES L. FULBECK, M.D.” is a dba name, the actual legal business name for this organization is CHARLES L. FULBECK, M.D., INC. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES L. FULBECK, M.D. below.

NPI Profile for
CHARLES L. FULBECK, M.D., INC

NPI Number
1558443440
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES L. FULBECK, M.D., INC
Doing Business As (dba): CHARLES L. FULBECK, M.D.
Primary location
1551 BISHOP ST
SUITE 420
SAN LUIS OBISPO, CA 93401-4635
Phone: (805) 549-9533 Fax: (805) 549-8001
Mailing address
PO BOX 25665
SALT LAKE CITY, UT 84125-0665
Phone: (805) 549-9533 Fax: (805) 549-8001
Organization Subpart
No
Authorized Official
CHARLES FULBECK
PHYSICIAN
Phone: (805) 549-9533
Updated
Identifiers

Identifiers for CHARLES L. FULBECK, M.D.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G501430
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
CA G50143

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.