Matthew Theodore Georgis, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A201380 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

Mar 23, 2018

Last updated

Dec 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Vascular Surgery

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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
• Direct secure messaging: mgeorgis690678@direct.trinity-health.org

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

• Associated Surgeons of San Luis Obispo

  • Surgery Physician
  • Pismo Beach, CA
  • NPI 1437147485
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Sierra Vista Hospital, Inc.

  dba Sierra Vista Regional Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1639101116
  Care Compare affiliation

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1437653367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "last_name": "GEORGIS",
        "first_name": "MATTHEW",
        "middle_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A201380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Ellen Ganiron, PSY.D.
• Renae Garcia
• Graceanne Garza, DNP, FNP-BC, RN
• Ruth Beatriz Garzon, D.D.S.
• Clifford L Gelman, MD
• Stephen Giacomazzi, MD
• Giancarlo a. Lauriente, DDS, Inc. (Five Cities Pediatric Dental Group)
• Amy M. Gibson, CMT
• Mona Kaur Gill, O.D.
• Cynthia Ann Gilmore, CNM

• Vascular Surgery Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.

Verify at the official NPI Registry.