California Forensic Medical Group, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CALIFORNIA FORENSIC MEDICAL GROUP, INC.

Practice address

5325 Broder Blvd
Dublin, CA 94568-3309

Phone

(925) 551-6700

Fax

(925) 551-7693

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Raymond Karl Herr, MD

Title

Chief Medical Officer

Phone

(831) 901-3278

Specialties & licenses 2

Addresses

Tax ID family

California Forensic Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• California Forensic Medical Group, Inc.

  • Custodial Care Facility
  • Merced, CA
  • NPI 1205218005
  NPD tax ID
• California Forensic Medical Group, Inc.

  • Health Service Clinic/Center
  • Monterey, CA
  • NPI 1487061859
  NPD tax ID

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467982017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 GARDEN RD STE A160",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405377",
            "telephone_number": "831-649-8994",
            "fax_number": "858-430-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 BRODER BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683309",
            "telephone_number": "925-551-6700",
            "fax_number": "925-551-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA FORENSIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "831-901-3278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Cai, DO
• Joan Cairns, LMFT
• Shantel Calderon
• Dawn L Caldwell, OTR/L CHT
• Lucinda Marie Calhoun
• Javan Calloway
• Brittany Callum
• Joseph Camacho
• Jazmin Camaguey
• Anissa Mireya Camarena

• Substance Use Disorder Rehabilitation Clinic/Center in Dublin, CA
• Providers in Dublin, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.