Active NPI
Forward Medical Group PC
- Family Medicine Physician
- West Hollywood, CA
National Provider Identifier
1457281214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FORWARD MEDICAL GROUP PC
- Practice address
- 8757 Burton Way
West Hollywood, CA 90048-3839 - Phone
- (385) 455-7170
- Fax
- (888) 823-5887
- NPI assigned
- May 21, 2026
- Last updated
- May 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Slack, DO
- Title
- Owner
- Phone
- (385) 455-7170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
8757 Burton Way
West Hollywood, CA 90048-3839
Mailing address
8757 Burton Way
West Hollywood, CA 90048-3839
Phone (385) 455-7170
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lehi, UT
- NPI 1467467399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1457281214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8757 BURTON WAY",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900483839",
"telephone_number": "385-455-7170",
"fax_number": "888-823-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8757 BURTON WAY",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900483839",
"telephone_number": "385-455-7170",
"fax_number": "888-823-5887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORWARD MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "SLACK",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "385-455-7170",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.