Active NPI
Edwin S. Hayashi, M.D.
- Surgery Physician
- Pismo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G74276
- Practice address
- 921 Oak Park Blvd Ste 201
Pismo Beach, CA 93449-3400 - Phone
- (805) 546-0411
- Fax
- (805) 473-4891
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | G74276 | CA | |
| Surgery Physician | 208600000X | G74276 | CA | Primary |
Addresses
Primary practice location
921 Oak Park Blvd Ste 201
Pismo Beach, CA 93449-3400
Mailing address
77 Casa St
Suite 103
San Luis Obispo, CA 93405-5803
Phone (805) 546-0411
Other practice location 1
77 Casa St
Suite 103
San Luis Obispo, CA 93405-5803
Phone (805) 546-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G742760 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of California, San Francisco School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
921 Oak Park Blvd
Suite 201
Pismo Beach, CA 93449-3400
Phone (805) 546-0411
Hospital & facility affiliations
- Marian Regional Medical Center
- French Hospital Medical Center
- Adventist Health Sierra Vista
- Adventist Health Twin Cities
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 19 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 91 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 37 |
| Leg revascularization (restoring blood flow) | 12 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G74276 | CA | MD | Surgery Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Surgeons of San Luis Obispo | Surgery | Current | Accepting new patients |
| Twin Cities Community Hospital, Inc. | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Associated Surgeons of San Luis Obispo | Surgery | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients |
Locations
921 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 546-0411
921 Oak Park Blvd
Ste 201A
Pismo Beach, CA 93449
Phone (805) 544-6000
77 Casa St
Ste 103
Sn Luis Obisp, CA 93405
Phone (805) 544-8993
292 Posada Ln
Ste C
Templeton, CA 93465
Phone (805) 434-2253
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1294
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.
-
- Surgery Physician
- Pismo Beach, CA
- NPI 1437147485
-
- Surgery Physician
- Pismo Beach, CA
- NPI 1750540431
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Arroyo Grande, CA
- NPI 1770659336
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1639101116
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1295797397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CASA ST",
"address_2": "SUITE 103",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934055803",
"telephone_number": "805-546-0411",
"fax_number": "805-489-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 OAK PARK BLVD STE 201",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493400",
"telephone_number": "805-546-0411",
"fax_number": "805-473-4891"
}
],
"practiceLocations": [
{
"address_1": "77 Casa St",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934055803",
"country_code": "US",
"telephone_number": "805-546-0411",
"fax_number": "805-489-1421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYASHI",
"first_name": "EDWIN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G74276",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G74276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G742760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.