NPIMap

Organization Active NPI

Associated Surgeons of San Luis Obispo

  • Surgery Physician
  • Pismo Beach, CA
National Provider Identifier
1750540431
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ASSOCIATED SURGEONS OF SAN LUIS OBISPO
Practice address
921 Oak Park Blvd
Suite 103
Pismo Beach, CA 93449-3264
Phone
(805) 489-8287
Fax
(805) 489-9346
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATED SURGEONS OF SAN LUIS OBISPOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Edwin S. Hayashi, M.D.NPI 1295797397
Title
Partner
Phone
(805) 489-8287

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
Surgery Physician 208600000X CA Primary

Addresses

Primary practice location

921 Oak Park Blvd
Suite 103
Pismo Beach, CA 93449-3264

Mailing address

921 Oak Park Blvd
Suite 103
Pismo Beach, CA 93449-3264
Phone (805) 489-8287

National Provider Directory

National Provider Directory
Tax ID family
Assoc Surgeons-S L O3 organizations share this tax ID, including this one
Part of
Assoc Surgeons-S L O

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

921 Oak Park Blvd
Ste 103
Pismo Beach, CA 93449
Phone (805) 489-8287

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1750540431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD",
            "address_2": "SUITE 103",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493264",
            "telephone_number": "805-489-8287",
            "fax_number": "805-489-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD",
            "address_2": "SUITE 103",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493264",
            "telephone_number": "805-489-8287",
            "fax_number": "805-489-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED SURGEONS OF SAN LUIS OBISPO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED SURGEONS OF SAN LUIS OBISPO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-489-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.