NPIMap

Individual provider Active NPI

Craig Wesley Canfield, M.D.

  • Urology Physician
  • San Luis Obispo, CA
National Provider Identifier
1053403774
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G64478 Issued in CA
Practice address
35 Casa St Ste 370
San Luis Obispo, CA 93405-5835
Phone
(805) 786-2500
Fax
(805) 781-0423
NPI assigned
Sep 29, 2006
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G64478 CA Primary

Addresses

Primary practice location

35 Casa St Ste 370
San Luis Obispo, CA 93405-5835

Mailing address

225 Prado Rd Ste D
San Luis Obispo, CA 93401-7363
Phone (805) 786-2500

Other identifiers 1

IdentifierTypeStateIssuer
00G644780MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000337 CA Practitioner - Urology 4789633884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

35 Casa St
Suite 370
San Luis Obispo, CA 93405-5835
Phone (805) 541-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G64478CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of the Central Coast Urology CurrentSince Jul 15, 1993 Accepting new patients
Urology Associates of the Central Coast Urology CurrentSince Jul 15, 1993 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Coastal Surgical Specialists, Inc. PastSince Jun 9, 2014 Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

921 Oak Park Blvd
Ste 202
Pismo Beach, CA 93449
Phone (805) 473-7818

35 Casa St
Ste 370
San Luis Obispo, CA 93405
Phone (805) 541-1111

116 S Palisade Dr
Ste 110
Santa Maria, CA 93454
Phone (805) 349-7133

225 Prado Rd
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 786-2500

3599 Sueldo St
Ste 110
Sn Luis Obisp, CA 93401

77 Casa St
Ste 202
Sn Luis Obisp, CA 93405
Phone (805) 541-1111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c3d5f6c-4d59-4a7f-9170-c96c3d9e561c/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1053403774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PRADO RD STE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017363",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 370",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055835",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "CRAIG",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G64478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G644780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.