Active NPI
Elizabeth Jane Cambray-Forker, D.O.
- Diagnostic Radiology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20A6283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A62830 | Other | BLUE SHIELD OF CA | |
| 300112802 | Other | RAILROAD MEDICARE | |
| 00AX62830 159 | Other | CALOPTIMA | |
| 053304CF39742 | Other | TRAILBLAZER | |
| 00AX62830 | Medicaid | CA |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.56 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6283 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Advantage MRI VI, Inc | Current | Accepting new patients | |
| Moran Rowen and Dorsey Inc | Diagnostic Radiology | Current | Accepting new patients |
| North Oc Imaging JV, LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Orange, CA
- NPI 1649263906
-
- Radiology Clinic/Center
- Irvine, CA
- NPI 1952026643
-
- Magnetic Resonance Imaging Radiologic Technologist
- Sacramento, CA
- NPI 1962427641
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- Specialist
- Chicago, IL
- NPI 1467402347
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.