Organization Active NPI

Heidi Sungurlu DO PC

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1336010149
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HEIDI SUNGURLU DO PC
Practice address
1223 Higuera St Ste 203
San Luis Obispo, CA 93401-3165
Phone
(805) 864-5330
Fax
(805) 866-7562
NPI assigned
Sep 15, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
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

Authorized official

Name
Heidi Sungurlu, DONPI 1114142999
Title
Owner
Phone
(805) 865-7984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001003523 CA Part B Supplier - Clinic/Group Practice 2365948064 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1336010149",
    "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": {
        "organization_name": "HEIDI SUNGURLU DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "SUNGURLU",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-865-7984",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.