Individual provider Active NPI

Edwin S. Hayashi, M.D.

  • Surgery Physician
  • Pismo Beach, CA
National Provider Identifier
1295797397
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G74276 Issued in CA
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

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G742760MedicaidCA

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
I20101111000376 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 2062461163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular 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
Associated Surgeons of San Luis ObispoGroup PAC ID 7810949989, 10 clinicians

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 Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)19
Hernia repair (minimally invasive)1-10
Mastectomy91
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision37
Leg revascularization (restoring blood flow)12
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74276CAMDSurgery Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Associated Surgeons of San Luis Obispo Surgery CurrentSince Jan 1, 1997 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.