Dan Borgstadt MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAN BORGSTADT MD INC

Practice address

255 W Herndon Ave Ste 103
Clovis, CA 93612-0381

Phone

(559) 326-2999

Fax

(559) 326-2988

NPI assigned

Mar 19, 2022

Organization subpart

No

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

Authorized official

Name

Dan Borgstadt

Title

Ad

Phone

(559) 326-2999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Borgstadt, M.D.

  • Family Medicine Physician
  • Clovis, CA
  • NPI 1457332330
  Medicare reassignment NPD

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1508515479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-326-2999",
            "fax_number": "559-326-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-326-2999",
            "fax_number": "559-326-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN BORGSTADT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "BORGSTADT",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "AD",
        "authorized_official_telephone_number": "559-326-2999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Suzanne Dahlberg, R.N., C.P.N.P.
• Shireen R Damania, MD
• John Damerson
• Damien Terronez Licensed Clinical Social Worker PC
• Jesse Caguioa Damino, PMHNP
• Khanh Tuan Dang, PHARM.D
• Daniel & Max LLC (Stanton Optical)
• Danny Lascano Medical Corporation
• Youssi H Daoud, PHARMACIST
• Mackenzey Brooke Darchuck

• Family Medicine Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.