NPIMap

Individual provider Active NPI

David E Hardesty, M.D.

  • Neurology Physician
  • Arroyo Grande, CA
National Provider Identifier
1942239157
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C55386 Issued in CA
Practice address
850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929
Phone
(805) 473-0700
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 225148-1 NY
Neurology Physician 2084N0400X C55386 CA Primary

Addresses

Primary practice location

850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929

Mailing address

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 547-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000995 CA Practitioner - Neurology 6800899576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 Fair Oaks Ave
Suite 100
Arroyo Grande, CA 93420-3929
Phone (805) 473-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55386CAMDNeurology Physician
225148-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Dec 23, 2019 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Dec 23, 2019 Accepting new patients
Dignity Health Past Accepting new patients
Levy Associates Inc PastSince Jan 27, 2013 Accepting new patients
Dignity Health Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Community Care Past Accepting new patients
Trustees of Columbia University in Department of Psychiatry Psychiatry PastSince Feb 1, 2003 Accepting new patients

Locations

850 Fair Oaks Ave
Ste 100
Arroyo Grande, CA 93420
Phone (805) 473-0700

850 Fair Oaks Ave
Ste 220
Arroyo Grande, CA 93420
Phone (805) 434-5530

2 James Way
Pismo Beach, CA 93449
Phone (805) 295-6594

2 James Way
Ste 101
Pismo Beach, CA 93449
Phone (805) 547-2224

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 4

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1942239157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 220",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-547-2224",
            "fax_number": "805-474-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 100",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-473-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDESTY",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "225148-1",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C55386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.