1. Home
  2. Directory
  3. California
  4. Clovis
  5. Family Medicine
  6. NPI Profile

DAN BORGSTADT MD INC
NPI 1508515479
Family Medicine in Clovis, CA

Active since March 19, 2022CLIA 05D2216117 · Waiver
255 W HERNDON AVE STE 103, CLOVIS, CA 93612(559) 326-2999(559) 326-2988 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dan Borgstadt Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAN BORGSTADT MD INC (NPI 1508515479) is a healthcare organization registered as a family medicine in Clovis, California and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Dan Borgstadt, Ad, as its authorized official.

NPPES Registry Identity

NPI1508515479
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAN BORGSTADT MD INC
Location Address255 W HERNDON AVE STE 103Clovis, CA 93612-0381
Mailing Address255 W Herndon Ave Ste 103Clovis, CA 93612-0381 · (559) 326-2999 · Fax (559) 326-2988
Phone(559) 326-2999
Fax(559) 326-2988
Organization SubpartNo
Authorized OfficialDan BorgstadtAd · (559) 326-2999
Enumeration DateMarch 19, 2022
NPPES CertifiedMarch 19, 2022
✔ NPI 1508515479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
255 W HERNDON AVE STE 103, Clovis, CA 93612
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dan Borgstadt Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dan Borgstadt MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Borgstadt, M.D.
Family Practice
NPI 1457332330
255 W HERNDON AVE # 103
Clovis, CA 93612
(559) 326-2999
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2216117

Dan Borgstadt, MD, Inc · Clovis, CA
Active · expires Mar 8, 2027
CLIA Number05D2216117
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDaniel L. Borgstadt
Laboratory Phone(559) 326-2999
Laboratory LocationDan Borgstadt, MD, Inc255 W. Herndon Ave. Ste 103, Clovis, CA 93612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dan Borgstadt MD Inc's NPI number?

The NPI number for Dan Borgstadt MD Inc is 1508515479. It was assigned to this organization in the NPPES registry on March 19, 2022.

Where is Dan Borgstadt MD Inc located?

Dan Borgstadt MD Inc is located at 255 W Herndon Ave Ste 103, Clovis, CA 93612. The listed phone number is (559) 326-2999.

What is Dan Borgstadt MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dan Borgstadt MD Inc enrolled in Medicare?

Yes. Dan Borgstadt MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dan Borgstadt MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dan Borgstadt MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dan Borgstadt MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2216117) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dan Borgstadt MD Inc was last updated on March 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.