Forum Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C41778 Issued in CA

Legal business name

FORUM MEDICAL GROUP

Practice address

3831 Stocker St
Los Angeles, CA 90008-5103

Phone

(323) 291-6234

Fax

(323) 291-7953

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Grover Collins, M.D.

Title

Medical Director

Phone

(323) 291-6234

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.

• Lisa Laverne Bradley, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1427106764
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1275717738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 STOCKER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085103",
            "telephone_number": "323-291-6234",
            "fax_number": "323-291-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 STOCKER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085103",
            "telephone_number": "323-291-6234",
            "fax_number": "323-291-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "GROVER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-291-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C41778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Leola Fortson
• Paula Fortson
• Rupert Fortugaleza, FNP
• Mari Ann Fortuna, LCSW
• Maria Delia Dejarme Fortunato, PMHNP-BC
• Forward Recovery Solutions, LLC
• Forward Recovery Solutions, LLC
• Forward Urology Medical Group Apc
• Leland Jay Foshag, M.D.
• Emily Foss

• Orthopaedic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.