Individual provider Active NPI

Daniel Paul Saurborn, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1578548822
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11374 Issued in NV
Practice address
5820 Oberlin Dr
Suite 205
San Diego, CA 92121-3742
Phone
(858) 366-7800
Fax
(602) 345-7735
NPI assigned
Dec 9, 2005
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 00026608 AL
Diagnostic Radiology Physician 2085R0202X MD421948 PA
Diagnostic Radiology Physician 2085R0202X 25MA07864300 NJ
Diagnostic Radiology Physician 2085R0202X 11374 NV Primary

Addresses

Primary practice location

5820 Oberlin Dr
Suite 205
San Diego, CA 92121-3742

Mailing address

5820 Oberlin Dr
Suite 205
San Diego, CA 92121-3742
Phone (858) 366-7800

Other practice location 1

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other practice location 2

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other identifiers 10

IdentifierTypeStateIssuer
1012523MedicaidVT
AZ0449070OtherAZBCBS
7537092OtherCIGNA
88681572MedicaidCO
113070MedicaidAZ
387918OtherMVP
4580716MedicaidMS
00069321OtherVTBCBS
P00442691OtherPAMEDICARE RAILROAD
01Y010152NH01OtherANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070816000783 NV Practitioner - Diagnostic Radiology 5799682100 Reassigns benefits to 2 organizations
I20100406000498 CA Practitioner - Diagnostic Radiology 5799682100 Reassigns benefits to 1 organization
I20150205000796 NJ Practitioner - Diagnostic Radiology 5799682100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026608ALMDDiagnostic Radiology Physician
25MA07864300NJMDDiagnostic Radiology Physician
11374NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Diagnostic Radiology CurrentSince Jan 24, 2024 Accepting new patients
On-Site Medical Group PC CurrentSince Aug 10, 2019 Accepting new patients
Silicon Valley Medical Imaging Inc a Medical Corporation CurrentSince Mar 1, 2010 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jan 21, 2020 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jan 21, 2020 Accepting new patients
Siloam Springs Clinic Company LLC Family Medicine Past Accepting new patients
Enid Radiology PLLC Diagnostic Radiology Past Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology PastSince Jun 4, 2008 Accepting new patients
Eastport Health Care, Inc. Past Accepting new patients
Trustees of the University of Pennsylvania Family Medicine Past Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Atlantic Diagnostic Center PA Diagnostic Radiology PastSince Sep 18, 2010 Accepting new patients
Pacific Imaging Consultants, a Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Atlantic Diagnostic Center PA Diagnostic Radiology Past Accepting new patients
Dunne Medical LTD Diagnostic Radiology Past Accepting new patients
Georgia Telerad LLC Diagnostic Radiology Past Accepting new patients
Radiology Professional Solutions, PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Children's Hospital, Inc Diagnostic Radiology Past Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology Past Accepting new patients
Whitney Hospital Authority Past Accepting new patients
Quantum Health, Inc. Past Accepting new patients

Locations

6707 N 19th Ave
Ste 108
Phoenix, AZ 85015
Phone (602) 242-4177

9201 E Mountain View Rd
Ste 112
Scottsdale, AZ 85258
Phone (480) 584-6800

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

2191 Mowry Ave
Ste 500H
Fremont, CA 94538
Phone (415) 595-8687

39120 Argonaut Way
Fremont, CA 94538
Phone (510) 796-0770

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

635 Camino de los Mares
Ste 101
San Clemente, CA 92673
Phone (949) 506-5316

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

754 Essington Rd
Joliet, IL 60435
Phone (815) 741-4100

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

50 US Highway 9
Ste 102
Morganville, NJ 07751
Phone (732) 490-5939

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

7540 Oso Blanca Rd
Ste 140
Las Vegas, NV 89149
Phone (702) 460-1375

7610 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (602) 651-1945

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daniel.saurborn.1@12833.direct.athenahealth.com
  • Direct secure messaging: daniel.saurborn@direct.myteamcare.com
  • FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1578548822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 OBERLIN DR",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213742",
            "telephone_number": "858-366-7800",
            "fax_number": "602-345-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 OBERLIN DR",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213742",
            "telephone_number": "858-366-7800",
            "fax_number": "602-345-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAURBORN",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00026608",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD421948",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07864300",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "11374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012523",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0449070",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7537092",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88681572",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113070",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "387918",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4580716",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00069321",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00442691",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "01Y010152NH01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.