1. Home
  2. Directory
  3. California
  4. Templeton
  5. Clinic Center
  6. NPI Profile

CENTRAL COAST FACIAL SURGERY CENTER
NPI 1083671358
Clinic/Center - Ambulatory Surgical in Templeton, CA

Active since April 28, 2006
295 POSADA LN, SUITE B, TEMPLETON, CA 93465(805) 434-5960(805) 434-5963 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Central Coast Facial Surgery Center NPPES

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

CENTRAL COAST FACIAL SURGERY CENTER (NPI 1083671358) is a healthcare organization registered as an ambulatory surgical in Templeton, California and active in the NPI registry since April 2006. The organization lists Roman P Bukachevsky, Member-manager, as its authorized official.

NPPES Registry Identity

NPI1083671358
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTRAL COAST FACIAL SURGERY CENTER
Location Address295 POSADA LN, SUITE BTempleton, CA 93465-4055
Mailing Address295 Posada Ln, Suite BTempleton, CA 93465-4055 · (805) 434-5960 · Fax (805) 434-5963
Phone(805) 434-5960
Fax(805) 434-5963
Organization SubpartNo
Authorized OfficialRoman P BukachevskyMember-manager · (805) 434-5960
Enumeration DateApril 28, 2006
Last NPPES UpdateAugust 21, 2007
✔ NPI 1083671358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · FNP26330
295 POSADA LN, Templeton, CA 93465
Open in Google Maps ↗

Other Identifiers 1

Medicare PINS051562ACA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Coast Facial Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20070727000350Non-DME Part B · Ambulatory Surgical CenterDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Creation of flap graft to midface 15730
A flap graft to the midface is a surgical procedure where a piece of tissue, with its blood supply, is transferred from one area of the body to the midface region. This helps restore form and function, especially after injury or disease.
26 services26 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
15 services14 patients
Creation of flap graft to nose, forehead, temple, or scalp 15731
A flap graft is a surgical procedure where skin from one area is moved to another, such as the nose, forehead, temple, or scalp. It helps restore function and appearance to areas damaged by injury or disease. The procedure involves careful planning to ensure the graft's success.
14 services14 patients
Creation of flap graft to head and/or neck 15733
A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.
14 services14 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm 11646
This procedure involves the careful removal of a cancerous skin growth larger than 4.0 cm from the face, ears, eyelids, nose, lips, or mouth. The aim is to eliminate cancer cells while preserving surrounding healthy tissue. Local anesthesia is typically used.
11 services11 patients

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW S DENNISH MD, FACC
Internal Medicine (Cardiovascular Disease)
295 POSADA LN, SUITE A
TEMPLETON, CA 93465
San Luis Obispo County (805) 782-8844
SHANNON M BERRY M.D.
Internal Medicine
295 POSADA LN, SUITE D
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-9900
LAWRENCE E VONDOLLEN MD, FACC
Internal Medicine (Cardiovascular Disease)
295 POSADA LN, STE A
TEMPLETON, CA 93465
San Luis Obispo County (805) 782-8844
ROMAN PLATON BUKACHEVSKY M.D.
Otolaryngology
295 POSADA LN, SUITE B
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-5960
MS. LIBBY A KERR RN BSN CDE
Registered Nurse (Diabetes Educator)
295 POSADA LN, SUITE C
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-1166
ROMAN P. BUKACHEVSKY, MD, INC
Specialist
295 POSADA LN, SUITE B
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-5960
JULIE C FALLON M.D.
Internal Medicine
295 POSADA LN, SUITE D
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-9900
DR. STEVEN JEROME MCALLEN M.D.
Internal Medicine
295 POSADA LN, SUITE C
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-1166

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 Central Coast Facial Surgery Center's NPI number?

The NPI number for Central Coast Facial Surgery Center is 1083671358. It was assigned to this organization in the NPPES registry on April 28, 2006.

Where is Central Coast Facial Surgery Center located?

Central Coast Facial Surgery Center is located at 295 Posada Ln Suite B, Templeton, CA 93465. The listed phone number is (805) 434-5960.

What is Central Coast Facial Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Central Coast Facial Surgery Center enrolled in Medicare?

Yes. Central Coast Facial Surgery Center is registered in the Medicare PECOS enrollment system.

When is Central Coast Facial Surgery Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Central Coast Facial Surgery Center was last updated on August 21, 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.