Arroyo Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARROYO MEDICAL GROUP, INC

Practice address

931 Oak Park Blvd
Suite 101
Pismo Beach, CA 93449-3402

Phone

(805) 474-2600

Fax

(805) 474-2607

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Ruiz, MDNPI 1003826884

Title

Coo

Phone

(805) 474-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19994/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ruiz, MD

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1003826884
  Medicare reassignment Care Compare group NPD Authorized official
• Amanthi Chandrasena, M.D.

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1790937332
  Medicare reassignment Care Compare group NPD
• Cary Fitchmun, MD

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1982614616
  Medicare reassignment Care Compare group NPD
• Megan M Malzone, MD

  • Internal Medicine Physician
  • Pismo Beach, CA
  • NPI 1518996412

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Dewey Sandberg, MD

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1386654028
  Medicare reassignment Care Compare group NPD
• Ernest Jones, MD

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1891705661
  Medicare reassignment NPD
• Maryam K. Tabrizi, M.D

  • Family Medicine Physician
  • Nipomo, CA
  • NPI 1932402476
  Medicare reassignment NPD
• Marisa Elizabeth Ayers, PA

  • Physician Assistant
  • Nipomo, CA
  • NPI 1194001990
  Medicare reassignment

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1720093487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 OAK PARK BLVD",
            "address_2": "SUITE 101",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493402",
            "telephone_number": "805-474-2600",
            "fax_number": "805-474-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 OAK PARK BLVD",
            "address_2": "SUITE 101",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493402",
            "telephone_number": "805-474-2600",
            "fax_number": "805-474-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROYO MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-474-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Armstrong Allis, P.T.
• Shelly Marie Allis, P.T.
• Mariella Alvarellos, M.D
• Amy Anderberg
• Aos Professional Inc
• Associated Surgeons of San Luis Obispo
• Associated Surgeons of San Luis Obispo
• Avalon Pediatrics, Inc.
• Avery Healthcare
• Domenick Barbo, LAC

• Family Medicine Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.