Urology Associates of the Central Coast

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

UROLOGY ASSOCIATES OF THE CENTRAL COAST

Doing business as

Urology Associates of San Luis Obispo

Practice address

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

Phone

(805) 541-1111

Fax

(805) 544-0834

NPI assigned

Aug 4, 2015

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tom A Sperling

Title

Administrator

Phone

(805) 786-2500

Specialties & licenses 1

Addresses

Other names 2

• Urology Associates of San Luis Obispo Doing business as
• Urology Associates of San Luis Obispo, A Medical Group, Inc. Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Urology Associates of the Central Coast

  • Urology Physician
  • San Luis Obispo, CA
  • NPI 1881785764

  4486750049

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Urology Assoc of Slo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Urology Associates of San Luis Obispo

  • Medical Physician Assistant
  • Santa Maria, CA
  • NPI 1245637123
  NPD tax ID

Locations

Interoperability endpoints

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

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Anthony Avallone, M.D.

  • Urology Physician
  • Santa Maria, CA
  • NPI 1013273036
  NPD
• John Nicholas Ivancovich Cabri, MD

  • Urology Physician
  • Los Angeles, CA
  • NPI 1528695491
  NPD
• Craig Wesley Canfield, M.D.

  • Urology Physician
  • San Luis Obispo, CA
  • NPI 1053403774
  NPD
• Pranav D. Dadhich, MD

  • Urology Physician
  • San Luis Obispo, CA
  • NPI 1053845362
  NPD
• Byron Patrick Dubow, M.D.

  • Urology Physician
  • Templeton, CA
  • NPI 1710365671
  NPD
• Christopher Warren Johnson, MD

  • Urology Physician
  • San Luis Obispo, CA
  • NPI 1770562712
  NPD
• Carol A. Karamitsos, M.D.

  • Gynecology Physician
  • Santa Maria, CA
  • NPI 1760475453
  NPD
• Samuel Branch Kieley, M.D.

  • Urology Physician
  • Santa Maria, CA
  • NPI 1003058546
  NPD
• Peter Stanford Kirk, MD

  • Urology Physician
  • San Luis Obispo, CA
  • NPI 1053817692
  NPD
• Paul Klosterman, M.D.

  • Urology Physician
  • San Luis Obispo, CA
  • NPI 1376634154
  NPD
• Joseph Kuntze, M.D.

  • Urology Physician
  • Templeton, CA
  • NPI 1134210727
  NPD
• Brett Daniel Lebed, MD

  • Urology Physician
  • Santa Maria, CA
  • NPI 1962664409
  NPD

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1194101899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 370",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055835",
            "telephone_number": "805-541-1111",
            "fax_number": "805-544-0834"
        },
        {
            "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": "805-541-1111",
            "fax_number": "805-544-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF THE CENTRAL COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "SPERLING",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-786-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Urology Associates of San Luis Obispo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urology Associates of San Luis Obispo, A Medical Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Estefania Unruh
• Carlos Untal, M.D.
• Cassidy Urbany
• Taylor Kristine Ureta
• Edward J Urias
• Urology Associates of the Central Coast
• Melissa Uthe
• Matthew William Utrup, PHARMD
• Stephanie Uyeno
• Helen Vafaie, DO

• Non-Pharmacy Dispensing Site in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.