Individual provider Active NPI

Schuyler Siddoway Rockwood, DO

  • Interventional Pain Medicine Physician
  • Pismo Beach, CA
National Provider Identifier
1841879079
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A23993 Issued in CA
Practice address
2 James Way Ste 205
Pismo Beach, CA 93449-4976
Phone
(805) 439-4200
Fax
(805) 707-1557
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 20A23993 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

2 James Way Ste 205
Pismo Beach, CA 93449-4976

Mailing address

2 James Way Ste 205
Pismo Beach, CA 93449-4976
Phone (805) 439-4200

Other practice location 1

1111 Las Tablas Rd Ste O
Templeton, CA 93465-9732
Phone (805) 439-4200

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
I20250822003204 CA Practitioner - Interventional Pain Management 8729480025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Management Specialists Medical GroupGroup PAC ID 2860448685, 13 clinicians

Practice addresses (Care Compare)

10 Santa Rosa St
Suite 201
San Luis Obispo, CA 93405-5826
Phone (805) 544-7246

Hospital & facility affiliations

  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A23993CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Gold Coast Pain and Wellness Center a Medical Corporation Interventional Pain Medicine CurrentSince May 18, 2026 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Aug 1, 2025 Accepting new patients

Locations

2 James Way
Ste 205
Pismo Beach, CA 93449
Phone (805) 773-3668

10 Santa Rosa St
San Luis Obispo, CA 93405
Phone (805) 461-9192

314 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 922-5655

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

Organizations & group practices 3

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 2

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1841879079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 205",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494976",
            "telephone_number": "805-439-4200",
            "fax_number": "805-707-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 205",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494976",
            "telephone_number": "805-439-4200",
            "fax_number": "805-707-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Las Tablas Rd Ste O",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659732",
            "country_code": "US",
            "telephone_number": "805-439-4200",
            "fax_number": "805-707-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKWOOD",
        "first_name": "SCHUYLER",
        "middle_name": "SIDDOWAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A23993",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.