We are all in this together and CCVV’s doors are open to serve our patients and community in these difficult and unprecedented times. Our outpatient endovascular center is open during this COVID-19 crisis to provide the best, critical care to patients with severe pain, non-healing wounds and other symptoms of Peripheral Vascular Disease (PVD) that, if left untreated, can lead to amputation. Contact us for a screening if you are experiencing symptoms of PVD.

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 arterial and venous 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

Is PAD preventing you from enjoying life to the fullest?

Aching, throbbing legs, pain and cramping, numbness, tingling, weakness, burning, discolored skin. These are just a few symptoms of peripheral artery disease (PAD) that may be preventing you from doing the things you love to do. You may be more likely to have PAD if (among other factors), you have high cholesterol, high blood pressure, diabetes or a history of smoking. Left untreated, PAD can lead to amputation.

Early diagnosis is key. In addition to lifestyle changes, CCVV offers state-of-the art, minimally-invasive treatments that can get you back on your feet and enjoying life again.

Schedule a Consultation

Meet Dr. Spearman

Dr. Kenneth Spearman is a Georgetown and Harvard trained, board-certified Interventional Radiologist. He is leading the vanguard in minimally-invasive surgical techniques–catheter-based intraluminal procedures and image-guided procedures–in the diagnosis and treatment of venous disease. Together with an expert team of vascular specialists, CCVV provides you with the highest quality, full time arterial and venous care, the only one of its kind in San Luis Obispo county.

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.

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 >>

Say goodbye to varicose and spider veins

Unsightly and painful varicose and spider veins can put a damper on an active and healthy lifestyle. Varicose veins develop when blood pools in your veins (venous reflux) due to weak or damaged vein valves causing them to swell. Many factors can raise your risk for developing varicose veins including family history, older age, female gender, pregnancy, obesity, prolonged standing or sitting, blood clots, and prior trauma. They can worsen over time and cause more severe vein disorders if left untreated.

CCVV provides minimally-invasive, out-patient varicose and spider vein treatments that take less than 30 minutes and require no down time.

Schedule a Consultation      Treatment procedure at a glance

What Our Patients Say

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!


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.

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.

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.

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.

Before / After Gallery*

  • Before-Slide 1
    After-Slide 1
    BeforeSlide 1After
  • Before-Slide 2
    After-Slide 2
    BeforeSlide 2After
  • Before-Slide 3
    After-Slide 3
    BeforeSlide 3After
  • Before-Slide 4
    After-Slide 4
    BeforeSlide 4After
  • Before-Slide 5
    After-Slide 5
    BeforeSlide 5After
  • Before-Slide 6
    After-Slide 6
    BeforeSlide 6After
  • Before-Slide 7
    After-Slide 7
    BeforeSlide 7After
  • Before-Slide 8
    After-Slide 8
    BeforeSlide 8After
  • Before-Slide 9
    After-Slide 9
    BeforeSlide 9After
  • Before-Slide 10
    After-Slide 10
    BeforeSlide 10After
  • Before-Slide 11
    After-Slide 11
    BeforeSlide 11After
  • Before-Slide 12
    After-Slide 12
    BeforeSlide 12After
  • Before-Slide 13
    After-Slide 13
    BeforeSlide 13After
  • Before-Slide 14
    After-Slide 14
    BeforeSlide 14After
  • Before-Slide 15
    After-Slide 15
    BeforeSlide 15After
  • Before-Slide 16
    After-Slide 16
    BeforeSlide 16After
  • Before-Slide 17
    After-Slide 17
    BeforeSlide 17After
  • Before-Slide 18
    After-Slide 18
    BeforeSlide 18After
  • Before-Slide 19
    After-Slide 19
    BeforeSlide 19After
  • Before-Slide 20
    After-Slide 20
    BeforeSlide 20After
  • Before-Slide 21
    After-Slide 21
    BeforeSlide 21After
  • Before-Slider 22
    After-Slider 22
    BeforeSlider 22After

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