Organization Active NPI

Forward Urology Medical Group Apc

  • Urology Physician
  • Burbank, CA
National Provider Identifier
1609754183
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FORWARD UROLOGY MEDICAL GROUP APC
Practice address
2625 W Alameda Ave Ste 400
Burbank, CA 91505-4817
Phone
(818) 841-6055
Fax
(818) 841-1082
NPI assigned
Aug 23, 2025
Organization subpart
Yes
Parent organization
FORWARD UROLOGY MEDICAL GROUP APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Authorized official

Name
Nataraj Chandrasekhar
Title
Manager
Phone
(818) 760-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2625 W Alameda Ave Ste 400
Burbank, CA 91505-4817

Mailing address

12922 Victory Blvd Ste B
North Hollywood, CA 91606-2924
Phone (818) 760-2800

Other names 1

  • Forward Urology Medical Group APC Doing business as

National Provider Directory

National Provider Directory
Part of
Forward Urology Medical Group Apc

Locations

2625 W Alameda Ave
Ste 400
Burbank, CA 91505
Phone (818) 841-6055

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1609754183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 VICTORY BLVD STE B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-760-2800",
            "fax_number": "818-760-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 400",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054817",
            "telephone_number": "818-841-6055",
            "fax_number": "818-841-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD UROLOGY MEDICAL GROUP APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORWARD UROLOGY MEDICAL GROUP APC",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "CHANDRASEKHAR",
        "authorized_official_first_name": "NATARAJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-760-2800"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Urology Medical Group APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; 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.