Cecelia Forsythe
Individual provider Active NPI Specialist · Alta, CA
NPI 1083733489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083733489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 34248 E. Towle Rd.
Alta, CA 95701 - Phone
- (530) 389-9208
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
34248 E. Towle Rd.
Alta, CA 95701
Mailing address
PO Box 1150
Alta, CA 95701-1150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5504 | Other | CA | CAS REGISTRATION |
Other providers in Alta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.