Individual provider Active NPI

Zachary Peter Vandegriend, M.D.

  • Facial Plastic Surgery Physician
  • Templeton, CA
National Provider Identifier
1477781193
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A135617 Issued in CA
Practice address
350 Posada LN Ste 202
Templeton, CA 93465-4060
Phone
(805) 434-5497
Fax
(805) 434-0917
NPI assigned
Jul 1, 2009
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A135617 CA Primary
Otolaryngology Physician 207Y00000X 2024-02718 NC

Addresses

Primary practice location

350 Posada LN Ste 202
Templeton, CA 93465-4060

Mailing address

350 Posada LN Ste 202
Templeton, CA 93465-4060
Phone (805) 434-5497

Other practice location 1

1555 Higuera St
San Luis Obispo, CA 93401-2917
Phone (805) 541-2368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150624001748 CA Practitioner - Otolaryngology 0941428700 Reassigns benefits to 1 organization
I20241202003184 NC Practitioner - Otolaryngology 0941428700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

1132 N Church St
Suite 200
Greensboro, NC 27401-1040
Phone (336) 379-9445

350 Posada LN
Suite 202
Templeton, CA 93465-4060
Phone (805) 434-5497

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as group
Quality
92.51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024-02718NCMDOtolaryngology Physician
A135617CAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Nov 4, 2024 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Wake Forest Health Network LLC Otolaryngology CurrentSince Nov 4, 2024 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 12, 2025 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 12, 2025 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

116 S Palisade Dr
Ste 206
Santa Maria, CA 93454
Phone (805) 347-9992

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1555 Higuera St
Sn Luis Obisp, CA 93401
Phone (805) 543-4043

350 Posada Ln
Ste 202
Templeton, CA 93465
Phone (805) 434-5497

1132 N Church St
Ste 200
Greensboro, NC 27401
Phone (336) 358-4268

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: zvandegriend2955482@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1477781193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 202",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654060",
            "telephone_number": "805-434-5497",
            "fax_number": "805-434-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 202",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654060",
            "telephone_number": "805-434-5497",
            "fax_number": "805-434-0917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Higuera St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012917",
            "country_code": "US",
            "telephone_number": "805-541-2368",
            "fax_number": "805-541-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEGRIEND",
        "first_name": "ZACHARY",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A135617",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2024-02718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.