PACIFIC COAST AUDIOLOGY, INC.
NPI 1063124527
Audiologist in San Luis Obispo, CA

Active since December 15, 2022
1035 PEACH ST STE 204, SAN LUIS OBISPO, CA 93401(805) 476-6212(805) 269-8091 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pacific Coast Audiology, Inc. NPPES

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

PACIFIC COAST AUDIOLOGY, INC. (NPI 1063124527) is a healthcare organization registered as an audiologist in San Luis Obispo, California and active in the NPI registry since December 2022. The organization lists Ryan Kennard, Audiologist, as its authorized official.

NPPES Registry Identity

NPI1063124527
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NamePACIFIC COAST AUDIOLOGY, INC.
Location Address1035 PEACH ST STE 204San Luis Obispo, CA 93401-2700
Mailing Address1035 Peach St Ste 204San Luis Obispo, CA 93401-2700 · (805) 476-6212 · Fax (805) 269-8091
Fax(805) 269-8091
Organization SubpartNo
Authorized OfficialRyan KennardAudiologist · (805) 476-6212
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1063124527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1035 PEACH ST STE 204, San Luis Obispo, CA 93401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Coast Audiology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pacific Coast Audiology, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Qualified Audiologist
NPI 1023425337
1035 PEACH ST STE 204
San Luis Obispo, CA 93401
(805) 476-6212
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1992620017
1035 PEACH ST STE 204
San Luis Obispo, CA 93401
(805) 549-4572
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pacific Coast Audiology, Inc.'s NPI number?

The NPI number for Pacific Coast Audiology, Inc. is 1063124527. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Pacific Coast Audiology, Inc. located?

Pacific Coast Audiology, Inc. is located at 1035 Peach St Ste 204, San Luis Obispo, CA 93401. The listed phone number is (805) 476-6212.

What is Pacific Coast Audiology, Inc.'s specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Pacific Coast Audiology, Inc. enrolled in Medicare?

Yes. Pacific Coast Audiology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Coast Audiology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Pacific Coast Audiology, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Coast Audiology, Inc. was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.