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ARROYO MEDICAL GROUP, INC
NPI 1720093487
Family Medicine in Pismo Beach, CA

Active since July 30, 2006CLIA 05D0939438 · Microscopy
931 OAK PARK BLVD, SUITE 101, PISMO BEACH, CA 93449(805) 474-2600(805) 474-2607 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Arroyo Medical Group, Inc NPPES

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

ARROYO MEDICAL GROUP, INC (NPI 1720093487) is a healthcare organization registered as a family medicine in Pismo Beach, California and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through January 25, 2028 and lists David Ruiz, Coo, as its authorized official.

NPPES Registry Identity

NPI1720093487
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARROYO MEDICAL GROUP, INC
Location Address931 OAK PARK BLVD, SUITE 101Pismo Beach, CA 93449-3402
Mailing Address931 Oak Park Blvd, Suite 101Pismo Beach, CA 93449-3402 · (805) 474-2600 · Fax (805) 474-2607
Phone(805) 474-2600
Fax(805) 474-2607
Organization SubpartNo
Authorized OfficialDavid RuizCoo · (805) 474-2600
Enumeration DateJuly 30, 2006
Last NPPES UpdateApril 30, 2019
✔ NPI 1720093487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
931 OAK PARK BLVD, Pismo Beach, CA 93449
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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)

Arroyo Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Arroyo Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Megan Malzone, MD
Internal Medicine
NPI 1518996412
931 OAK PARK BLVD STE 101
Pismo Beach, CA 93449
(805) 474-2600
✔ PECOS✔ Accepts MedicareSame address
Cary Fitchmun, MD
Family Practice
NPI 1982614616
931 OAK PARK BLVD SUITE 101
Pismo Beach, CA 93449
(805) 474-2600
✔ PECOS✔ Accepts MedicareSame address
Ernest Jones, MD
Family Practice
NPI 1891705661
931 OAK PARK BLVD SUITE 101
Pismo Beach, CA 93449
(805) 474-2616
✔ PECOSSame address
Dewey Sandberg, MD
Family Practice
NPI 1386654028
931 OAK PARK BLVD SUITE 101
Pismo Beach, CA 93449
(805) 474-2600
✔ PECOSSame address
David Ruiz, MD
Family Practice
NPI 1003826884
931 OAK PARK BLVD
Pismo Beach, CA 93449
(805) 474-2600
✔ PECOS✔ Accepts MedicareSame address
Amanthi Chandrasena, M.D.
Family Practice
NPI 1790937332
901 OAK PARK BLVD STE 101
Pismo Beach, CA 93449
(805) 481-2205
✔ PECOS✔ Accepts Medicare0.1 mi
Maryam Tabrizi, M.D
Family Practice
NPI 1932402476
699 W TEFFT ST STE A
Nipomo, CA 93444
(805) 930-9995
✔ PECOS✔ Accepts Medicare9.7 mi

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

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0939438

Arroyo Medical Group · Pismo Beach, CA
Active · expires Jan 25, 2028
CLIA Number05D0939438
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorDavid Ruiz MD
Laboratory Phone(805) 474-2600
Laboratory LocationArroyo Medical Group931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Arroyo Medical Group, Inc's NPI number?

The NPI number for Arroyo Medical Group, Inc is 1720093487. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Arroyo Medical Group, Inc located?

Arroyo Medical Group, Inc is located at 931 Oak Park Blvd Suite 101, Pismo Beach, CA 93449. The listed phone number is (805) 474-2600.

What is Arroyo Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Arroyo Medical Group, Inc enrolled in Medicare?

Yes. Arroyo Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arroyo Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Arroyo Medical Group, 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. The largest specialties are Family Practice (6) and Internal Medicine (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arroyo Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0939438) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arroyo Medical Group, Inc was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.