DR. DAVID EDISON FISHER M.D.
NPI 1093811622
Specialist in San Bernardino, CA

Active since September 14, 2006
1850 S. WATERMAN AVE,, SUITE E, SAN BERNARDINO, CA 92408(909) 890-0977(909) 382-4523 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David Edison Fisher M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID EDISON FISHER M.D. (NPI 1093811622) is an individual specialist in San Bernardino, California, licensed in California (A36514) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1093811622
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DAVID EDISON FISHERCredential: M.D.
Location Address1850 S. WATERMAN AVE,, SUITE ESan Bernardino, CA 92408
Mailing Address1706 Kyle LaneRedlands, CA 92373-7437 · (909) 389-7929 · Fax (909) 794-7575
Fax(909) 382-4523
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093811622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A36514
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1850 S. WATERMAN AVE,, San Bernardino, CA 92408

Other Identifiers 4

OtherA36514CA · Medical License Number
Medicare ID-Type Unspecified00A365140CA
MedicaidGR0077430CA
Medicare UPINA28114CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Fisher's NPI number?

The NPI number for David Fisher is 1093811622. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is David Fisher located?

David Fisher practices at 1850 S. Waterman Ave, Suite E, San Bernardino, CA 92408. The listed phone number is (909) 890-0977.

What is David Fisher's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for David Fisher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.