Individual provider Active NPI

Dawn Marie Saborit, CPNP

  • Pediatric Nurse Practitioner
  • Pleasant Hill, CA
National Provider Identifier
1386964625
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP21031 Issued in CA
Practice address
400 Taylor Blvd
Suite 306
Pleasant Hill, CA 94523-2147
Phone
(925) 691-9688
Fax
(925) 691-9820
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NP21031 CA Primary

Addresses

Primary practice location

400 Taylor Blvd
Suite 306
Pleasant Hill, CA 94523-2147

Mailing address

400 Taylor Blvd
Suite 306
Pleasant Hill, CA 94523-2147
Phone (925) 691-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130503000241 CA Practitioner - Nurse Practitioner 8123265493
I20200805003454 VA Practitioner - Nurse Practitioner 8123265493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Apr 5, 2020 Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1000 E Broad St
Richmond, VA 23219

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1386964625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD",
            "address_2": "SUITE 306",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232147",
            "telephone_number": "925-691-9688",
            "fax_number": "925-691-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD",
            "address_2": "SUITE 306",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232147",
            "telephone_number": "925-691-9688",
            "fax_number": "925-691-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABORIT",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP21031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.