Individual provider Active NPI

Zachary Thomas Spalding, MD

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1699129528
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A169932 Issued in CA
Practice address
1941 Johnson Ave Ste 301
San Luis Obispo, CA 93401-4175
Phone
(805) 786-4111
Fax
(805) 543-6357
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A169932 CA Primary

Addresses

Primary practice location

1941 Johnson Ave Ste 301
San Luis Obispo, CA 93401-4175

Mailing address

1941 Johnson Ave Ste 301
San Luis Obispo, CA 93401-4175
Phone (805) 786-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250401003389 CA Practitioner - Obstetrics/Gynecology 8426344581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1941 Johnson Ave
Suite 301
San Luis Obispo, CA 93401-4175
Phone (805) 786-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169932CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince May 5, 2025 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Advanced OBGYN Obstetrics & Gynecology Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince May 5, 2025 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

2 James Way
Ste 106
Pismo Beach, CA 93449
Phone (805) 473-7665

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

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

1941 Johnson Ave
Ste 301
Sn Luis Obisp, CA 93401
Phone (805) 597-6715

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: zachary.spalding.1@23728.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23728/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1699129528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 301",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014175",
            "telephone_number": "805-786-4111",
            "fax_number": "805-543-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 301",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014175",
            "telephone_number": "805-786-4111",
            "fax_number": "805-543-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A169932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.