Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Anthony Reburn, MD

Individual provider Diagnostic Radiology Physician · NPI 1912941485

Michael Anthony Reburn, MD is a Diagnostic Radiology in Templeton, California. Graduated from Creighton University School of Medicine in 1990, 36 years ago. Practices with Radiology Associates of San Luis Obispo a Medical Group Inc, a 56-clinician group and accepts Medicare assignment. Licensed in California, Kansas and Oklahoma.

Years since qualifying
36
Trained at
Creighton University School of Medicine
Licensed in
CA, KS, OK
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1310 Las Tablas Rd Ste 103
Templeton, CA 93465-9746
Phone: (805) 434-0829
Fax: (805) 928-9588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G146743 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 19365 (OK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 04-25829 (KS)

Record details

NPI number1912941485
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address1310 Las Tablas Rd Ste 206, Templeton, CA 93465-9747

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Radiology Associates Of San Luis Obispo A Medical Group Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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