Organization Active NPI

Christine D Forest, M.D. Inc.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1275704074
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A72375 Issued in CA
Legal business name
CHRISTINE D FOREST, M.D. INC.
Practice address
116 N Robertson Blvd Ste 907
Los Angeles, CA 90048-3112
Phone
(310) 358-9499
Fax
(310) 358-9409
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Christine D Forest, M.D.NPI 1407869431
Title
President
Phone
(310) 358-9499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A72375 CA Primary

Addresses

Primary practice location

116 N Robertson Blvd Ste 907
Los Angeles, CA 90048-3112

Mailing address

13563 Via San Remo
Chino Hills, CA 91709-1350
Phone (909) 465-9949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210001018 CA Part B Supplier - Clinic/Group Practice 9335191014 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

116 N Robertson Blvd
Ste 907
Los Angeles, CA 90048
Phone (310) 358-9499

6310 San Vicente Blvd
Ste 425
Los Angeles, CA 90048
Phone (310) 358-9499

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1275704074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13563 VIA SAN REMO",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091350",
            "telephone_number": "909-465-9949",
            "fax_number": "909-591-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ROBERTSON BLVD STE 907",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483112",
            "telephone_number": "310-358-9499",
            "fax_number": "310-358-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE D FOREST, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-358-9499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.