FOREST MEDICAL GROUP, INC. (NPI# 1366642225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366642225 |
| Entity Type | Organization |
| Organization Name | FOREST MEDICAL GROUP, INC. |
| Practice Address |
3803 S Bascom Ave Suite 210 Campbell CA 95008-7317 |
| Practice Telephone | 4085591866 |
| Practice Fax Number | 4085591868 |
| Mailing Telephone | 4085591866 |
| Mailing Fax Number | 4085591868 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | NINA A BREDA (OFFICE MANAGER) |
| Authorized Official Telephone | 4085591866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A24232 | CA | Other Service Providers |
| Street Address |
3803 S BASCOM AVE SUITE 210 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891783148 | Patrick Michael Monahan | Specialist | 3803 S Bascom Ave, Ste 104, Campbell, CA 95008-7317 | 2005-10-11 |
| 1598204943 | Aesthetx | Surgery | 3803 S Bascom Ave, Suite 100, Campbell, CA 95008-7317 | 2017-02-17 |
| 1902252463 | Scott Mcfarland | Orthopaedic Surgery | 3803 S Bascom Ave, Campbell, CA 95008-7317 | 2016-05-13 |
| 1710389838 | Melinda A. Costa, Md, Inc | Surgery | 3803 S Bascom Ave, Suite 100, Campbell, CA 95008-7317 | 2014-09-19 |
| 1790033280 | Kamakshi R Zeidler Md PC | Plastic Surgery | 3803 S Bascom Ave, Suite 100, Campbell, CA 95008-7317 | 2012-08-15 |
| 1124326830 | Rodolfo A Morales M D A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3803 S Bascom Ave, Suite 102b, Campbell, CA 95008-7317 | 2011-03-03 |
| 1063712743 | Medical Arts Surgery Suite A Medical Corporation | Clinic/Center | 3803 S Bascom Ave, Suite 100, Campbell, CA 95008-7317 | 2010-10-27 |
| 1497062608 | R Laurence Berkowitz Md Inc | Specialist | 3803 S Bascom Ave, Suite 100, Campbell, CA 95008-7317 | 2010-09-09 |
| 1710172994 | F. Richard Noodleman Md A Professional Corporation | Dermatology | 3803 S Bascom Ave, Suite 200, Campbell, CA 95008-7317 | 2007-09-11 |
| 1316145378 | Jennifer Lee Gunst | Acupuncturist | 3803 S Bascom Ave, Suite 200, Campbell, CA 95008-7317 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588103055 | Patricia Shizuko Nakamura | Specialist | 1645 S Bascom Ave, Ste C, Campbell, CA 95008-0630 | 2017-02-17 |
| 1417217910 | Kim Rapport | Specialist | 2255 S Bascom Ave Ste 200, Campbell, CA 95008-7800 | 2012-05-18 |
| 1427326115 | Cads, Inc. | Specialist | 1925 S Winchester Blvd Ste 204, Campbell, CA 95008-1038 | 2011-12-08 |
| 1437482726 | Peggy Ann Alfred | Specialist | 3425 S Bascom Ave Ste F, Campbell, CA 95008-7300 | 2009-09-17 |
| 1184844011 | Sarah Yunsin Lee | Specialist | 900 E Hamilton Ave Ste 220, Campbell, CA 95008-0665 | 2007-04-25 |
| 1811045313 | Orthonorcal, Inc | Specialist | 3803 S Bascom Ave Ste 102, Campbell, CA 95008-7317 | 2007-01-08 |
| 1518030568 | Retinal Diagnostic Center A Medical Corporation | Specialist | 3395 S. Bascom Ave., Suite 140, Campbell, CA 95008 | 2006-11-16 |
| 1083784631 | James P Duncan Iv | Specialist | 433 W Rincon Ave Apt D, Campbell, CA 95008-2820 | 2006-11-09 |
| 1154417657 | R. Laurence Berkowitz | Specialist | 3803 S. Bascom Avenue #100, Campbell, CA 95008 | 2006-10-04 |
| 1679671259 | Polyxene G. Kokinos | Specialist | 2255 S Bascom Ave, Ste 200, Campbell, CA 95008-7800 | 2006-09-20 |
| Find all providers in CAMPBELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.