Individual provider Active NPI

Heidi Sungurlu, D.O.

  • Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1114142999
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
20A12250 Issued in CA
Practice address
1223 Higuera St Ste 203
San Luis Obispo, CA 93401-3165
Phone
(805) 864-5330
Fax
(805) 866-7562
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 20A12250 CA Primary

Addresses

Primary practice location

1223 Higuera St Ste 203
San Luis Obispo, CA 93401-3165

Mailing address

1223 Higuera St Ste 203
San Luis Obispo, CA 93401-3165
Phone (805) 864-5330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140527000757 CA Practitioner - Obstetrics/Gynecology 3476680091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1223 Higuera St
Suite 203
San Luis Obispo, CA 93401-3165
Phone (805) 864-5330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12250CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi Sungurlu DO PC CurrentSince Sep 15, 2025 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Mar 18, 2014 Accepting new patients
First Choice Physician Partners CurrentSince Mar 18, 2014 Accepting new patients
Helen Etemadi DO PLLC Past Accepting new patients
First Choice Physician Partners Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

35 Casa St
Ste 130
San Luis Obispo, CA 93405
Phone (805) 541-1422

77 Casa St
Ste 104
Sn Luis Obisp, CA 93405
Phone (805) 541-6225

1223 Higuera St
Ste 203
Sn Luis Obisp, CA 93401
Phone (805) 864-5330

Interoperability endpoints

  • Direct secure messaging: heidi.sungurlu.1@34088.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1114142999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 HIGUERA ST STE 203",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013165",
            "telephone_number": "805-864-5330",
            "fax_number": "805-866-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HIGUERA ST STE 203",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013165",
            "telephone_number": "805-864-5330",
            "fax_number": "805-866-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNGURLU",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "20A12250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.