Individual provider Active NPI

Elizabeth Jane Cambray-Forker, D.O.

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1295734838
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A6283 Issued in CA
Practice address
431 S Batavia St
Ste. 103
Orange, CA 92868-3936
Phone
(714) 538-6731
Fax
(714) 771-8369
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 20A6283 CA
Diagnostic Radiology Physician 2085R0202X 20A6283 CA Primary

Addresses

Primary practice location

431 S Batavia St
Ste. 103
Orange, CA 92868-3936

Mailing address

PO Box 14005
Orange, CA 92863-1405
Phone (714) 571-5000

Other identifiers 5

IdentifierTypeStateIssuer
020A62830OtherBLUE SHIELD OF CA
300112802OtherRAILROAD MEDICARE
00AX62830 159OtherCALOPTIMA
053304CF39742OtherTRAILBLAZER
00AX62830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000687 CA Practitioner - Diagnostic Radiology 1951373331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Midwestern University, Chicago College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moran Rowen and Dorsey IncGroup PAC ID 9537063375, 35 clinicians

Practice addresses (Care Compare)

1031 W Chapman Ave
Orange, CA 92868-2872
Phone (714) 997-4762

1095 Irvine Blvd
Tustin, CA 92780-3526
Phone (714) 505-7110

1100 W Stewart Dr
St Joseph Hospital
Orange, CA 92868-3891
Phone (714) 771-8171

12942 Harbor Blvd
Garden Grove, CA 92840-5809
Phone (714) 705-2120

2212 E 4TH St
Santa Ana, CA 92705-3870
Phone (714) 571-7767

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 628-3305

363 S Main St
Suite 115
Orange, CA 92868-3813
Phone (866) 598-0076

845 W la Veta Ave
Suite 105
Orange, CA 92868-3930
Phone (714) 639-2600

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Merit-based Incentive Payment System (MIPS)

Final score
84.56 of 100Reported as group
Quality
85.63
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6283CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Open Advantage MRI VI, Inc CurrentSince Jun 1, 2003 Accepting new patients
Moran Rowen and Dorsey Inc Diagnostic Radiology CurrentSince Aug 1, 2004 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Dec 6, 2022 Accepting new patients
Affiliated Radiologists, SC Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 125
Anaheim, CA 92805
Phone (714) 241-7000

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

705 W La Veta Ave
Ste 107
Orange, CA 92868
Phone (714) 639-4901

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

431 S Batavia St
Ste 103
Orange, CA 92868
Phone (714) 538-6731

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

1201 W La Veta Ave
Ste 102
Orange, CA 92868
Phone (714) 771-8370

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

1095 Irvine Blvd
Tustin, CA 92780
Phone (714) 505-7110

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1295734838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14005",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928631405",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S BATAVIA ST",
            "address_2": "STE. 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683936",
            "telephone_number": "714-538-6731",
            "fax_number": "714-771-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRAY-FORKER",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "20A6283",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A6283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "020A62830",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300112802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00AX62830 159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER",
            "identifier": "053304CF39742",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.