DR. GUSTAVO ADOLFO DASCANIO MD
NPI 1255366548
Internal Medicine in Solvang, CA

Active since July 12, 2006Opted out of Medicare · through Sep 1, 2027CLIA 05D0858706 · Waiver
2030 VIBORG ROAD, SUITE 208, SOLVANG, CA 93463(805) 688-5488(805) 688-2624 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gustavo Adolfo Dascanio Md NPPES

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

DR. GUSTAVO ADOLFO DASCANIO MD (NPI 1255366548) is an individual internal medicine provider in Solvang, California, licensed in California (G55900) and active in the NPI registry since July 2006. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through June 2, 2027.

NPPES Registry Identity

NPI1255366548
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GUSTAVO ADOLFO DASCANIOCredential: MD
Location Address2030 VIBORG ROAD, SUITE 208Solvang, CA 93463
Mailing Address2030 Viborg Road, Suite 208Solvang, CA 93463 · (805) 688-5488 · Fax (805) 688-2624
Fax(805) 688-2624
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255366548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G55900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2030 VIBORG ROAD, Solvang, CA 93463

Other Identifiers 2

Medicare UPINA53052
Medicare ID-Type UnspecifiedG55900ACA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Gustavo Adolfo Dascanio Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2013 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2013
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0858706

Gustavo A Dascanio MD Inc · Solvang, CA
Active · expires Jun 2, 2027
CLIA Number05D0858706
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorGustavo A. Dascanio MD
Laboratory Phone(805) 688-5488
Laboratory LocationGustavo A Dascanio MD Inc2030 Viborg Road, Solvang, CA 93463
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$38.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$81.25 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
2030 VIBORG ROAD, SUITE 205
SOLVANG, CA 93463
Internal Medicine
2030 VIBORG ROAD, SUITE 205
SOLVANG, CA 93463

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 Gustavo Dascanio's NPI number?

The NPI number for Gustavo Dascanio is 1255366548. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Gustavo Dascanio located?

Gustavo Dascanio practices at 2030 Viborg Road Suite 208, Solvang, CA 93463. The listed phone number is (805) 688-5488.

What is Gustavo Dascanio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gustavo Dascanio enrolled in Medicare?

No. Gustavo Dascanio has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Gustavo Dascanio hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0858706) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gustavo Dascanio 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.