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Maryam Guiahi, MD is now Central Coast Gynecology · Accepting new patientsAccepting new patientsNew patients

(805) 243-8034Fax (805) 244-0390

Patient information

Understand your options. Prepare for your visit.

Review available services, payment approaches, procedure-comfort support, and what to expect when you contact Central Coast Gynecology.

Available gynecologic care

Find the care that fits your needs.

Browse by the type of care you are seeking. If your concern spans more than one area, describe what you are experiencing and the practice will help identify the right visit.

Routine & Preventive Gynecology

Preventive visits, age-appropriate care, and screening.

3 services
  • Well-Woman Care

    Preventive visits with age-appropriate screening, health counseling, and care tailored to your individual needs.

  • Adolescent Gynecology

    Age-appropriate, confidential, and patient-centered care.

  • Perimenopause & Menopause

    Care for midlife symptoms and the menopausal transition, including hormone therapies.

Menstrual Health & Abnormal Bleeding

Evaluation of absent or abnormal periods and bleeding after menopause.

3 services
  • Amenorrhea

    Evaluation of absent periods with individualized guidance on appropriate next steps.

  • Abnormal Menses

    Evaluation and management of irregular, heavy, prolonged, or otherwise concerning periods.

  • Postmenopausal Bleeding

    Evaluation of bleeding after menopause with individualized recommendations for follow-up care.

Pelvic Health

Focused care for pelvic pain, vulvar conditions, and related concerns.

5 services
  • Pelvic Pain

    Evaluation for endometriosis, myofascial pain, and other causes of pelvic pain.

  • Management of Abnormal Pap Smears

    Evaluation and management of cervical dysplasia and precancerous changes.

  • Vulvar Care

    Care for vulvar symptoms and dermatoses, including lichen sclerosus.

  • Management of Vaginitis

    Evaluation and individualized treatment for vaginal irritation, itching, discharge, odor, and recurrent symptoms.

  • Sexual Medicine

    Care for pain with sex, low libido, and other sexual health concerns.

Family Planning & Early Pregnancy

Contraception, pregnancy evaluation, miscarriage care, and pregnancy options.

4 services
  • Contraception & Sterilization

    Hormonal and nonhormonal options, including pain control for IUD insertion.

  • Early Pregnancy Evaluation

    Early pregnancy evaluation, including gestational age dating scans.

  • Miscarriage Care

    Expectant, medical, and procedural care guided by your preferences.

  • Pregnancy Options

    Compassionate counseling with medical and procedural options.

Pro-Nox Nitrous Oxide system available in Dr. Guiahi's officeNitrous Oxide available

Comfort during procedures

Build a comfort plan before your procedure.

Depending on your needs and the procedure, several adjunctive options may be considered. Discuss comfort concerns in advance so the available choices can be reviewed with you.

Nitrous Oxide

Patient-controlled minimal sedation may be available for select procedures.

Local numbing blocks

Targeted local anesthetic can be considered depending on the procedure.

TENS support

A compact wearable TENS unit may be used as an adjunctive comfort option.

Oral analgesia

Medication options can be discussed in advance when appropriate.

Planning your visit

Practical details, without the guesswork.

Review the practice's payment approach, gather useful information, and know what to expect after submitting a request.

Coverage & payment

Know how care is billed.

The practice accepts CenCal/Medi-Cal health plans and offers fee-for-service care.

  • CenCal/Medi-Cal accepted
  • Upfront fee-for-service pricing
  • PPO superbills available for possible reimbursement
Request an appointment

Prepare for your visit

Have the useful details within reach.

The practice will confirm what is needed when following up. These items are helpful to have available when they apply to your concern.

  • Photo ID and insurance card, if applicable
  • A current medication and allergy list
  • Relevant prior records, imaging, or laboratory results
  • Questions, goals, and any procedure-comfort concerns

What happens next

From request to a prepared visit.

  1. 01

    Call the practice

    Briefly share the service or concern and any insurance coverage.

  2. 02

    The practice follows up

    We help determine the visit type, availability, and next steps.

  3. 03

    Prepare together

    Confirm needed records and discuss comfort options in advance.

(805) 243-8034 2320 Bath Street, Santa Barbara, CA 93105-4339

Frequently asked questions

Answers before you reach out.

If your question is specific to your health or circumstances, please call the practice so we can guide you appropriately.

What if I am not sure which visit to request?

Call the practice and briefly describe the concern or service you are looking for. We will help determine the most appropriate next step.

Does Dr. Guiahi provide obstetrical care?

Dr. Guiahi provides limited early obstetric services, including viability scans, but does not provide ongoing prenatal care or delivery services.

Why do you accept CenCal Health/Medi-Cal but not commercial insurance?

The practice accepts CenCal Health/Medi-Cal because CenCal Health is a publicly governed, nonprofit, community-based health plan whose mission of expanding access, advancing health equity, and improving the well-being of local patients closely aligns with our values. As a small independent practice, we do not have the negotiating power of a hospital system or large medical group. Commercial insurance contracts can impose reimbursement and administrative requirements that are not sustainable for a practice of our size and can divert time and resources away from patient care. We have therefore chosen not to contract with commercial insurance plans so we can remain independent and keep clinical decisions and patient relationships at the center of care. Patients with commercial insurance may pay out of pocket. Patients with a PPO plan may also request a superbill to submit to their insurer for possible out-of-network reimbursement.

What is a superbill, and how do I use it?

A superbill is an itemized document showing the services provided, relevant diagnosis and procedure codes, the date of service, and the amount paid. It is not a bill or a guarantee of reimbursement. After paying the practice, patients with PPO coverage may submit the superbill to their insurance company by following their plan's claim-submission instructions. The insurance company—not the practice—determines whether a service is covered and how much, if anything, it will reimburse based on the patient's specific contract, deductible, coinsurance, and out-of-network benefits. Every plan is different, so patients should contact their insurer before the visit to ask about out-of-network coverage, claim requirements, their deductible, and any exclusions or prior-authorization requirements.

How much do services cost?

The cost of services depends on your individual needs and recommended care plan. Initial consultations are $450. This fee reflects not only your dedicated time with the provider, but also the clinical and administrative staff, care coordination, and office resources required to provide safe, attentive, high-quality care. Any additional services and their costs will be discussed with you in advance.

Can I discuss pain relief before an in-office procedure?

Yes. A separate pre-procedure consultation can be scheduled to review pain-relief options and develop an individualized plan. This consultation is a billable visit, and consultation fees or applicable insurance cost-sharing may apply. Depending on your needs and the procedure, options may include local numbing blocks, TENS support, oral analgesia, and minimal sedation with Nitrous Oxide.

What should I bring to my appointment?

The practice can confirm what is needed when following up. If relevant, it is helpful to have identification, insurance information, a medication and allergy list, prior records, and your questions available.

Can I use the appointment request page for an emergency?

No. This website is not an emergency service. Call 911 or seek emergency care for a medical emergency. For urgent but non-emergency concerns, please call the office at (805) 243-8034. We will do our best to accommodate you based on your needs and the urgency of your concern.

Ready for the next step?

Let's plan the right kind of visit.

Call to share what you are looking for and any insurance coverage. We will help determine the appropriate visit and next step.

Request an appointment