Pismo State Beach offers accessible beach and lagoon access near Oceano off Highway 1, with two wheelchair-accessible fishing piers along the Guiton Trail on the west side of the lagoon.

The park features accessible camping at North Beach and Oceano campgrounds, accessible trails including the 1-mile Coastal Access Trail with compacted aggregate and wood surfaces, and day-use parking with accessible facilities.

Vehicle day-use is $5, and the beach allows vehicle access at the end of West Grand Avenue for those with four-wheel drive vehicles.