Scott K Forman M D Professional Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G71209 Issued in CA

Legal business name

SCOTT K FORMAN M D PROFESSIONAL CORPORATION

Practice address

360 San Miguel Dr
#701
Newport Beach, CA 92660-7853

Phone

(949) 759-3600

Fax

(949) 759-9265

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Melinda Budd

Title

Office Manager

Phone

(949) 270-0344

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Kevin Forman, M.D.

  • Orthopaedic Surgery Physician
  • Newport Beach, CA
  • NPI 1306881842
  Medicare reassignment

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1528301710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "#701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-759-3600",
            "fax_number": "949-759-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "#701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-759-3600",
            "fax_number": "949-759-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT K FORMAN M D PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-270-0344"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G71209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F31830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Lauren Schwartzmeyer
• Diane Louise Schwarz, N.P.
• Kenneth Bradley Schwarz, D.D.S.
• Kristin E Scord, P.A.
• Scott E. Jenkins M.D., Inc.
• Scott W. Niven DDS
• Claire Ziemba Scott, MD
• Cynthia Rene Scott
• Denise Scott, M.D.
• Herbert Rand Scott, M.D.

• Orthopaedic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.