ASSOCIATED SURGEONS OF SAN LUIS OBISPO
NPI 1437147485
Surgery in Pismo Beach, CA

Active since October 12, 2005
921 OAK PARK BLVD STE 201, PISMO BEACH, CA 93449(805) 546-0411(805) 473-4891 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Associated Surgeons Of San Luis Obispo NPPES

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

ASSOCIATED SURGEONS OF SAN LUIS OBISPO (NPI 1437147485) is a healthcare organization registered as a surgery in Pismo Beach, California and active in the NPI registry since October 2005. The organization maintains a secondary practice location in San Luis Obispo and lists Edwin Sueyo Hayashi, General Partner, as its authorized official.

NPPES Registry Identity

NPI1437147485
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameASSOCIATED SURGEONS OF SAN LUIS OBISPO
Location Address921 OAK PARK BLVD STE 201Pismo Beach, CA 93449-3400
Mailing Address921 Oak Park Blvd Ste 201Pismo Beach, CA 93449-3400 · (805) 546-0411 · Fax (805) 473-4891
Fax(805) 473-4891
Organization SubpartNo
Authorized OfficialEdwin Sueyo HayashiGeneral Partner · (805) 546-0411
Enumeration DateOctober 12, 2005
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1437147485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
921 OAK PARK BLVD STE 201, Pismo Beach, CA 93449

Secondary Practice Location 1

Location 177 Casa St Ste 103San Luis Obispo, CA 93405-5899 · Phone (805) 546-0411 · Fax (805) 473-4891

Other Identifiers 2

MedicaidGR0044721CA
MedicaidGR0044720CA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associated Surgeons Of San Luis Obispo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20050216000929Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Associated Surgeons Of San Luis Obispo, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

General Surgery11
Vascular Surgery3

Clinicians, nearest first (14)

General Surgery
NPI 1083688782
921 OAK PARK BLVD SUITE 201
Pismo Beach, CA 93449
(805) 546-0411
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1437653367
921 OAK PARK BLVD STE 201
Pismo Beach, CA 93449
(805) 546-0411
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1295797397
921 OAK PARK BLVD STE 201
Pismo Beach, CA 93449
(805) 546-0411
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1154580702
921 OAK PARK BLVD SUITE 201
Pismo Beach, CA 93449
(805) 546-0411
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1326545500
921 OAK PARK BLVD STE 201
Pismo Beach, CA 93449
(805) 546-0411
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1336635929
921 OAK PARK BLVD STE 201
Pismo Beach, CA 93449
(805) 546-0411
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1588168637
921 OAK PARK BLVD STE 201A
Pismo Beach, CA 93449
(805) 834-8975
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1053306803
77 CASA ST SUITE 103
San Luis Obispo, CA 93405
(805) 544-8993
✔ PECOS11 mi
General Surgery
NPI 1063594059
292 POSADA LN STE C
Templeton, CA 93465
(805) 434-3133
✔ PECOS✔ Accepts Medicare30 mi
General Surgery
NPI 1346242005
292 POSADA LN STE C
Templeton, CA 93465
(805) 434-3133
✔ PECOS✔ Accepts Medicare30 mi
General Surgery
NPI 1447879838
292 POSADA LN
Templeton, CA 93465
(805) 434-2253
✔ PECOS✔ Accepts Medicare30 mi
General Surgery
NPI 1790060697
292 POSADA LN STE C
Templeton, CA 93465
(805) 434-2253
✔ PECOS✔ Accepts Medicare30 mi
Vascular Surgery
NPI 1285880708
1215 PLUMAS ST STE 800
Yuba City, CA 95991
(530) 990-7412
✔ PECOS✔ Accepts Medicare282 mi
General Surgery
NPI 1700038536
10240 PARK MEADOWS DR
Lone Tree, CO 80124
(303) 338-4545
✔ PECOS✔ Accepts Medicare917 mi

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 Associated Surgeons Of San Luis Obispo's NPI number?

The NPI number for Associated Surgeons Of San Luis Obispo is 1437147485. It was assigned to this organization in the NPPES registry on October 12, 2005.

Where is Associated Surgeons Of San Luis Obispo located?

Associated Surgeons Of San Luis Obispo is located at 921 Oak Park Blvd Ste 201, Pismo Beach, CA 93449. The listed phone number is (805) 546-0411.

What is Associated Surgeons Of San Luis Obispo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Associated Surgeons Of San Luis Obispo enrolled in Medicare?

Yes. Associated Surgeons Of San Luis Obispo is registered in the Medicare PECOS enrollment system.

When is Associated Surgeons Of San Luis Obispo'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, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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.

How many clinicians bill Medicare through Associated Surgeons Of San Luis Obispo?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Associated Surgeons Of San Luis Obispo. 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. The largest specialties are General Surgery (11) and Vascular Surgery (3). Of these, 7 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 Associated Surgeons Of San Luis Obispo was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.