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CENTRAL COAST VEIN& VASCULAR
NPI 1508249202
Radiology - Vascular & Interventional Radiology in Pismo Beach, CA

Active since June 30, 2015CLIA 05D2311596 · Accreditation
901 OAK PARK BLVD STE 103, PISMO BEACH, CA 93449(805) 888-4744(805) 825-3789 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Feb 16, 2016 (2 updates tracked since 2016).

About Central Coast Vein& Vascular NPPES

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

CENTRAL COAST VEIN& VASCULAR (NPI 1508249202) is a healthcare organization registered as a vascular & interventional radiology in Pismo Beach, California and active in the NPI registry since June 2015. The organization holds an CLIA Accreditation certificate valid through June 2, 2027, maintains a secondary practice location in Arroyo Grande, and lists Kenneth Spearman, President, as its authorized official.

NPPES Registry Identity

NPI1508249202
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameSPEARMAN MD INC.
Location Address901 OAK PARK BLVD STE 103Pismo Beach, CA 93449-3409
Mailing Address880 Oak Park Blvd, Suite 201Arroyo Grande, CA 93420-1821 · (805) 473-8346
Phone(805) 888-4744
Fax(805) 825-3789
Organization SubpartNo
Authorized OfficialKenneth SpearmanPresident · (805) 473-8346
Enumeration DateJune 30, 2015
Last NPPES UpdateApril 18, 20232 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1508249202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
901 OAK PARK BLVD STE 103, Pismo Beach, CA 93449
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Other Names 1

Doing Business AsCentral Coast Vein& Vascular

Secondary Practice Location 1

Location 1880 Oak Park Blvd, Suite 201Arroyo Grande, CA 93420-1821 · Phone (805) 473-8346

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Accreditation 05D2311596

Central Coast Vein And Vascular · Arroyo Grande, CA
Active · expires Jun 2, 2027
CLIA Number05D2311596
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorDr. Kennith Spearman
Laboratory Phone(805) 473-8346
Laboratory LocationCentral Coast Vein And Vascular880 Oak Park Blvd Ste 201, Arroyo Grande, CA 93420
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

PERRY PATEL DDS,INC
Dentist
901 OAK PARK BLVD STE 103
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-4761
DR. STEVEN RICHARD SABO MD
Family Medicine
901 OAK PARK BLVD STE 103
PISMO BEACH, CA 93449
San Luis Obispo County (805) 888-4744
ANA MARCELA BENITEZ FNP-C
Nurse Practitioner (Family)
901 OAK PARK BLVD STE 103
PISMO BEACH, CA 93449
San Luis Obispo County (805) 888-4744

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 Spearman MD Inc.'s NPI number?

The NPI number for Spearman MD Inc. is 1508249202. It was assigned to this organization in the NPPES registry on June 30, 2015. The provider is doing business as Central Coast Vein& Vascular.

Where is Spearman MD Inc. located?

Spearman MD Inc. is located at 901 Oak Park Blvd Ste 103, Pismo Beach, CA 93449. The listed phone number is (805) 888-4744.

What is Spearman MD Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Spearman MD Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2311596) 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 Spearman MD Inc. was last updated on April 18, 2023. 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.