Organization Active NPI

Stephen D. Forner, M.D. Medical Corporation

  • Neurology Physician
  • Chico, CA
National Provider Identifier
1316145774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G035751 Issued in CA
Legal business name
STEPHEN D. FORNER, M.D. MEDICAL CORPORATION
Practice address
1405 Magnolia Ave
Suite B
Chico, CA 95926-3226
Phone
(530) 894-3330
Fax
(530) 894-1770
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Bonnie L. Smith
Title
Manager
Phone
(530) 894-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G035751 CA Primary

Addresses

Primary practice location

1405 Magnolia Ave
Suite B
Chico, CA 95926-3226

Mailing address

1405 Magnolia Ave
Ste B
Chico, CA 95926-3226
Phone (530) 894-3330

Other identifiers 1

IdentifierTypeStateIssuer
1336141159OtherCANPI TYPE 1

Other names 1

  • Stephen D. Forner, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1405 Magnolia Ave
Ste B
Chico, CA 95926
Phone (530) 894-3330

Practitioners & affiliated clinicians

Practitioners 1

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316145774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MAGNOLIA AVE",
            "address_2": "STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263226",
            "telephone_number": "530-894-3330",
            "fax_number": "530-894-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263226",
            "telephone_number": "530-894-3330",
            "fax_number": "530-894-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. FORNER, M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-894-3330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G035751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1336141159",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen D. Forner, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.