NPIMap

Organization Active NPI

Urology Associates of the Central Coast

  • Urology Physician
  • San Luis Obispo, CA
National Provider Identifier
1881785764
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY ASSOCIATES OF THE CENTRAL COAST
Practice address
225 Prado Rd
Suite D
San Luis Obispo, CA 93401-7363
Phone
(805) 786-2500
Fax
(805) 781-0423
NPI assigned
Sep 27, 2006
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Craig W Canfield, MDNPI 1053403774
Title
President
Phone
(805) 541-1111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary
Radiation Oncology Clinic/Center 261QX0203X NU

Addresses

Primary practice location

225 Prado Rd
Suite D
San Luis Obispo, CA 93401-7363

Mailing address

225 Prado Rd
Suite D
San Luis Obispo, CA 93401
Phone (805) 786-2500

Other practice location 1

4051 Broad St Ste 230
San Luis Obispo, CA 93401-8723
Phone (805) 786-2500 ext. 1022

Other identifiers 4

IdentifierTypeStateIssuer
GR0041432MedicaidCA
GR0041430MedicaidCA
GR0041433MedicaidCA
GR0041431MedicaidCA

Other names 1

  • Urology Associates of San Luis Obispo, A Medical Group Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070428000115 CA Part B Supplier - Clinic/Group Practice 4486750049 Receives reassigned benefits from 18 practitioners
Practice locations: Lompoc, CA; Pismo Beach, CA; San Luis Obispo, CA; Santa Maria, CA; Templeton, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1111 E Ocean Ave
Ste 3
Lompoc, CA 93436
Phone (805) 733-8150

4051 Broad St
Ste 230
San Luis Obispo, CA 93401
Phone 8057862500 ext. 1022

116 S Palisade Dr
Ste 110
Santa Maria, CA 93454
Phone (805) 349-7133

225 Prado Rd
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 786-2500

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1881785764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PRADO RD",
            "address_2": "SUITE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PRADO RD",
            "address_2": "SUITE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017363",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4051 Broad St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018723",
            "country_code": "US",
            "telephone_number": "805-786-2500 x1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF THE CENTRAL COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "CANFIELD",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-541-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041432",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041430",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041433",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Associates of San Luis Obispo, A Medical Group Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 23, 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.