Individual provider Active NPI

Alan Forrest, DC

  • Chiropractor
  • Tarzana, CA
National Provider Identifier
1184796377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14038 Issued in CA
Practice address
18740 Ventura Blvd Ste 301
Tarzana, CA 91356-6311
Phone
(818) 996-4994
Fax
(818) 996-5114
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14038 CA Primary

Addresses

Primary practice location

18740 Ventura Blvd Ste 301
Tarzana, CA 91356-6311

Mailing address

18740 Ventura Blvd Ste 301
Tarzana, CA 91356-6311
Phone (818) 996-4994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000448 CA Practitioner - Chiropractic 8921262163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18740 Ventura Blvd
Tarzana, CA 91356-3366

18740 Ventura Blvd
Suite 301
Tarzana, CA 91356-6311
Phone (818) 996-4994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC14038CAMDChiropractor
14038CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest Chiropractic Offices, Inc. Chiropractor CurrentSince Jan 1, 1973 Accepting new patients

Locations

18740 Ventura Blvd
Ste 301
Tarzana, CA 91356
Phone (818) 776-1661

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184796377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 301",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566311",
            "telephone_number": "818-996-4994",
            "fax_number": "818-996-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 301",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566311",
            "telephone_number": "818-996-4994",
            "fax_number": "818-996-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.