COASTAL SURGICAL SPECIALISTS, INC.
NPI 1821194754
Clinic/Center - Ambulatory Surgical in Pismo Beach, CA

Active since September 16, 2006CLIA 05D1023498 · Waiver
921 OAK PARK BLVD, 101, PISMO BEACH, CA 93449(805) 473-9850(805) 473-9851 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Coastal Surgical Specialists, Inc. NPPES

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

COASTAL SURGICAL SPECIALISTS, INC. (NPI 1821194754) is a healthcare organization registered as an ambulatory surgical in Pismo Beach, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Susan Andersen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1821194754
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOASTAL SURGICAL SPECIALISTS, INC.
Location Address921 OAK PARK BLVD, 101Pismo Beach, CA 93449-3264
Mailing Address921 Oak Park Blvd, 101Pismo Beach, CA 93449-3264 · (805) 473-9850 · Fax (805) 473-9851
Fax(805) 473-9851
Organization SubpartNo
Authorized OfficialSusan AndersenChief Financial Officer · (805) 739-3110
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJune 18, 2014
NPI 1821194754 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 · 050000593
921 OAK PARK BLVD, Pismo Beach, CA 93449

Other Identifiers 1

Medicare PINS051690CA

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 05D1023498

Coastal Surgical Specialists Inc/ Coastal Surgical Institute · Pismo Beach, CA
Active · expires Mar 16, 2028
CLIA Number05D1023498
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorJames Kasper
Laboratory Phone(805) 473-9850
Laboratory LocationCoastal Surgical Specialists Inc/ Coastal Surgical Institute921 Oak Park Blvd Ste 101, Pismo Beach, CA 93449
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 39

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
517 services507 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
273 services268 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
255 services252 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
142 services142 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
140 services126 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
115 services114 patients

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Radiology)
921 OAK PARK BLVD, STE 102
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD, SUITE 103
PISMO BEACH, CA 93449
Specialist
921 OAK PARK BLVD, SUITE 100B
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD, SUITE 201
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD, SUITE 201
PISMO BEACH, CA 93449

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 Coastal Surgical Specialists, Inc.'s NPI number?

The NPI number for Coastal Surgical Specialists, Inc. is 1821194754. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Coastal Surgical Specialists, Inc. located?

Coastal Surgical Specialists, Inc. is located at 921 Oak Park Blvd 101, Pismo Beach, CA 93449. The listed phone number is (805) 473-9850.

What is Coastal Surgical Specialists, Inc.'s specialty?

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

Does Coastal Surgical Specialists, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1023498) is associated with this NPI, valid through March 16, 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 Coastal Surgical Specialists, Inc. was last updated on June 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.