Clay Forsberg, MD, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A121163 Issued in CA

Legal business name

CLAY FORSBERG, MD, INC.

Practice address

30212 Tomas
Suite 275
Rancho Santa Margarita, CA 92688-2172

Phone

(949) 888-9700

Fax

(949) 888-9724

NPI assigned

Jul 13, 2012

Organization subpart

No

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

Authorized official

Name

Clay G Forsberg, M.D.NPI 1629251004

Title

President

Phone

(949) 888-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clay Garrett Forsberg, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
  • NPI 1629251004

  Plastic Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1194070375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 275",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-888-9700",
            "fax_number": "949-888-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 275",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-888-9700",
            "fax_number": "949-888-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY FORSBERG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "FORSBERG",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-888-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A121163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yong Chua, PA
• Minnie Lou Chung, P.T.
• Mark Cianciola, MD
• Christine Ciscone, LCSW
• Morgan Clampitt
• Clay Thomas Chiropractic Corporation
• Heather Anne Cochran, MSW
• Alyssa Paige Cook, MA, LMFT
• Debra Finch Cook, DDS MS
• Jacob Cottle, DPT

• Plastic Surgery Physician in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.