Coastal Surgical Institute

What Coastal Surgical Institute does

Coastal Surgical Institute (CSI) is a single-site, Medicare-certified ambulatory surgery center (ASC) located at 921 Oak Park Blvd., Suite 101 in Pismo Beach, California, on the Central Coast. The facility delivers same-day outpatient surgical procedures that do not require overnight hospitalization, spanning eight medical specialties: ears/nose/throat, general surgery, gynecology, gastroenterology, orthopedics, plastic and reconstructive surgery, podiatry, and urology. More than 20 surgeons maintain surgical privileges at the center, and board-certified anesthesiologists from Coastal Anesthesiology Medical Associates (C.A.M.A.) provide anesthesia services.

The center operates from a purpose-built facility described as equipped with "advanced surgical equipment" enabling procedures that are faster, less invasive, and more comfortable than prior standards. The technology stack is explicitly described as physical surgical equipment rather than software; the public web presence is a basic WordPress site, and patient scheduling is conducted by phone. The facility is Medicare Certified and complies with applicable Federal civil rights laws under ACA Section 1557; multilingual translation services are made available in approximately 12 languages.

Commercially, CSI operates as a privately held physician-ownership entity (22 physician owners are referenced) that is "operated in cooperation with Dignity Health," a major regional health system that provides institutional backing and referral flow. The go-to-market model is referral-led: patients arrive through physician referrals, the center provides surgical space, nursing staff, and equipment, and revenue is generated on a professional-services basis from surgical procedures performed onsite. Patients receive separate bills from the surgeon, the anesthesiologist, and the pathology lab, indicating a fee-for-service billing structure across multiple providers rather than bundled facility pricing.

Name

Coastal Surgical Institute

Legal name

Coastal Surgical Institute

Website

https://coastalasc.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Coastal Surgical Institute is a Medicare-certified, physician-owned ambulatory surgery center in Pismo Beach, California, delivering same-day outpatient procedures across eight specialties (ENT, general surgery, gynecology, gastroenterology, orthopedics, plastics, podiatry, urology) and operated in cooperation with Dignity Health.

Ownership category

akta.pro rank

Product category

Ambulatory Surgical Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Multi-Specialty Ambulatory Surgery Centers (ASCs) (HLAFAIAA)

akta.pro secondary industries

Plastics / Cosmetic & Dermatologic Surgery Centers (HLAFAIAK), Orthopedic & Spine Surgery Centers (HLAFAIAG)

Keywords

• Ambulatory surgery center
• Outpatient surgical services
• Same-day surgery
• Multispecialty surgical care
• Medicare-certified ASC

Headquarters

HQ city

Pismo Beach

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Supply Chain

Revenue model

1. Surgical Procedures: Revenue generated from surgical procedures performed at the ambulatory surgery center. Facility provides surgical space, nursing staff, and equipment for various outpatient procedures across multiple specialties including ENT, general surgery, gynecology, gastroenterology, orthopedics, plastics, podiatry, and urology.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

Coastal Surgical Institute operates a Medicare-certified ambulatory surgery center on the Central Coast of California providing same-day outpatient surgical procedures across multiple specialties including ENT, general surgery, gynecology, gastroenterology, orthopedics, plastics, podiatry, and urology. The facility is equipped with advanced surgical technology and supported by board-certified anesthesiologists from Coastal Anesthesiology Medical Associates (C.A.M.A.), enabling patients to recover at home without overnight hospitalization.

Product overview

Coastal Surgical Institute operates as a single-site ambulatory surgery center on the Central Coast of California, offering same-day surgical procedures across multiple medical specialties without requiring overnight hospitalization. The facility provides a unified portfolio of surgical services including ENT, general surgery, gynecology, gastroenterology, orthopedics, plastic/reconstructive surgery, podiatry, and urology. All procedures are supported by board-certified anesthesiologists from Coastal Anesthesiology Medical Associates (C.A.M.A.). The center maintains over 20 surgeons with surgical privileges and is Medicare certified. Translation services in multiple languages are available to support diverse patient populations.

Differentiator

Problem solved

Functional benefit

Products and services

• Ambulatory Surgical Services

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core.

• Dignity HealthcoreStrategic or Co-development PartnerCoastal Surgical Institute is operated in cooperation with Dignity Health. This partnership provides institutional backing and integration with a major healthcare system network on the Central Coast.
• Coastal Anesthesiology Medical Associates (C.A.M.A.)coreTechnology or IntegrationAnesthesia is provided by board certified anesthesiologists who belong to Coastal Anesthesiology Medical Associates (C.A.M.A.). This partnership ensures professional anesthesia services for all procedures performed at the facility.

Scale indicators2 records

Recent moves4 records

Direct peers

• ASD Management: ASD Management is an ASC management company that operates and develops ambulatory surgery centers, often in partnership with hospitals. Comparable to CSI in multi-specialty ASC focus and physician/health system alignment, though ASD typically provides management services rather than full facility operation.
• Regent Surgical Health: Regent Surgical Health is an ASC management and development company that partners with hospitals and physicians to operate ambulatory surgery centers. Comparable to CSI in operating model and multi-specialty focus, though Regent operates multiple sites and adds a management services layer that CSI does not.
• Surgery Partners: Surgery Partners is a publicly traded operator of ambulatory surgery centers across multiple specialties, closely comparable to CSI's multi-specialty ASC operating model. Both focus on outpatient surgical delivery with physician ownership alignment, though Surgery Partners operates at much greater scale with a national footprint.
• United Surgical Partners International (USPI): USPI, a subsidiary of Tenet Healthcare, is the largest ASC operator in the United States with hundreds of facilities across multiple specialties. Comparable to CSI as a multi-specialty ambulatory surgery center operator with health system partnerships, though at substantially greater scale and with national reach.
• AMSURG: AMSURG operates a national network of ambulatory surgery centers, many in partnership with hospitals and health systems. Comparable to CSI's multi-specialty ASC model with health system affiliations, with the main distinction being AMSURG's national platform scale and integration into Envision/Optum.
• SCA Health: SCA Health (formerly Surgical Care Affiliates, now part of Optum) operates ambulatory surgery centers across multiple specialties. Directly comparable to CSI in service mix and physician-partnership model, with scale and integration into UnitedHealth's payer-provider ecosystem as the main differentiator.

Broad incumbents

• Tenet Healthcare: Tenet Healthcare is a major hospital and ambulatory care operator, with USPI as its ambulatory surgery center subsidiary. Comparable to CSI as an ASC operator through USPI and through its health system partnerships, though Tenet's portfolio is far broader across hospitals and outpatient services nationally.
• HCA Healthcare: HCA Healthcare is one of the largest hospital operators in the United States and operates a significant ambulatory surgery center portfolio through its Surgery Ventures division. A broad incumbent comparable to CSI on the ASC delivery side, but with a much broader hospital-centric portfolio and substantially greater scale.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Coastal Surgical Institute