CCVV is the Central Coast’s premier clinic for outpatient vascular and other minimally-invasive surgeries. Led by Dr. Ken Spearman, a Harvard-trained vascular interventionalist, our practice provides full-service consultation, diagnostics and state-of-the-art vein and arterial treatments all in a single, convenient comfortable office setting.


Peripheral arterial disease is a common, yet serious disease treatable through early detectionMore »

Varicose and Spider Veins

Widespread venous issue that can progress into other severe conditionsMore »
Uterine Fibroids

Uterine Fibroids

Affecting 20-40% of premenopausal women, relief is possible through non-surgical treatmentMore »
Pelvic Congestion/Varicoceles

Pelvic Congestion/Varicoceles

Enlarged veins and bloodclots in the reproductive system can occur in both men and women
Men » / Women »
Dialysis Intervention

Dialysis Intervention

Dialysis access management including fistulograms, hemodialysis, peritoneal and venogramsMore »
Catheter Placements

Catheter Placements

Pleurx, gastric, PICC line, nephrostomy


Thyroid, liver, lymph node; Paracentesis, thoracentesis, seroma, hematoma

Vascular Ultrasound

Vascular Ultrasound

Renal, celiac & mesenteric arteries; Liver, aortic/carotid & vertebral doppler

Meet Our Doctors

Led by Dr. Ken Spearman, a Harvard-trained vascular interventionalist, our team of doctors are skilled, experienced specialists in vascular and interventional radiology offering the highest quality medical care and latest techniques.

Kenneth Spearman, M.D.


Dr. Spearman is a board certified Radiologist with subspecialty training in Interventional Radiology from Harvard Medical School and Massachusetts General Hospital ranked best in the nation by U.S News and World Report.

Dr. Spearman earned his medical degree from Georgetown University School of Medicine and was trained by many founding physicians of endovascular and venous interventional treatments. He is currently on staff at Marian Regional Medical Center and Arroyo Grande Hospital and founded Central Coast Vein & Vascular in 2015 to bring new minimally invasive treatments to the central coast.

Before entering medicine, Dr. Spearman attended the United States Military Academy at West Point and following graduation served as a Captain in the US Special Operations Command. He continues to be passionate about maintaining an active lifestyle and enjoys spending time with his family outdoors in the beauty of the Central Coast.

Timothy Watson, M.D.


Dr. Watson has been living and working on the Central Coast for approximately six years, arriving after successful completion of a double fellowship in both Body Imaging Intervention as well as Vascular Interventional Radiology from the University of Southern California. He is a devoted husband and father, with two small children who keep him grounded, balancing his demanding work schedule with many school and sports related activities. Caring and compassionate, Dr. Watson combines a disciplined attention to detail and a comfortable demeanor in the treatment of all his patients and their families. When not working, or pacing the sidelines, he can be found in the local waters surfing with his friends and family.

Daniel Perry, MPAS, PA-C


Daniel is a board certified Physician Assistant with specialty training in the diagnosis and treatment of chronic venous insufficiency as well as cosmetic sclerotherapy for the treatment of spider veins. He received his Masters in Physician Assistant Studies from the University of Nebraska Medical Center – spending his elective rotations as well as spare time assisting in numerous cosmetic surgeries and procedures. His attention to detail and quality of care make him a perfect fit as a member of the team at Central Coast Vein and Vascular. When Daniel is not treating patients at CCVV he serves as a medical officer in the California Army National Guard caring for Soldiers as well as instructing combat medics in a wide variety of subjects including orthopedics, emergency medicine, and advanced life support.

Daniel and his wife enjoy camping and hiking the central coast with their four children, spending time in the snow and attending their children’s multiple sporting events.

What is it like to have an arterial procedure at CCVV?
Jerry C.

I was informed by my primary care physician that I had occlusion (blockage) of my arteries in my right leg as a result of heart disease and diabetes…As luck would have it, I went to an appointment with a podiatrist and, after he saw the results of my Arterial CT Scan, he referred me to Dr. Spearman at the Central Coast Vein and Vascular office. When I went, the office staff was extremely friendly and competent… Dr. Spearman told me about his procedure that did not require hospitalization and that he could perform the surgery the following week… The surgery lasted two hours… I was released, walked to the car of my driver, taken home, greeted by my dog outside of my place, and walked in. It was the most satisfying experience with a doctor in my life and I am 77 years old.

Read full review >>

What Our Patients Say

Very positive experience. Excellent doctor and support staff. Convenient location with ample parking. Lovely office. I left very happy and confident that I found a top notch doctor.

Tina S.

After doing a lot of research, I chose Central Coast Vein and Vascular to treat a large varicose vein in my leg. I'm very glad I chose to have my vein treated at Central Coast Vein and Vascular, because the procedure totally changed my life for the better. I have so much more energy now!


My experience with the staff at CCV&V was off the chart.  There was no waiting in the lobby (imagine that at a doctors office??) and every person who was involved in the treatments was very friendly and went above and beyond to explain the procedures being performed.

Gary N.

I have been very pleased by both my medical and cosmetic procedures at Central Coast vein vascular. The techs are professional and kind. The results are amazing!

Mary V.

I can't rave enough about Central Coast Vein & Vascular. Not only is the staff great but the procedure works!! I spent 1 hour with Dr. Spearman while he took care of both ankles, painlessly I might add. Now 2 months later my ankles are completely clear and I'm totally impressed.

Irene R.

Our State-of-the Art Facility

All minimally-invasive procedures are performed in our state-of-the-art outpatient interventional and vascular radiology center, conveniently located in Arroyo Grande—the only one of its kind in San Luis Obispo County. Our comfortable, office-based setting provides a more personal and private experience than a hospital or surgical center.

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*The same results may not occur for all patients. Procedures performed include Endovenous Laser Ablation and Sclerotherapy.