Individual provider Active NPI

Forrest Doan, D.O.

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1639412042
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16145 Issued in CA
Practice address
1600 E Belle Ter
Bakersfield, CA 93307-3871
Phone
(661) 391-3190
NPI assigned
Apr 3, 2013
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 16145 CA Primary

Addresses

Primary practice location

1600 E Belle Ter
Bakersfield, CA 93307-3871

Mailing address

1968 S Coast Hwy Ste 2093
Laguna Beach, CA 92651-3681

Other practice location 1

1356 Lusitana St Ste 510
Honolulu, HI 96813-2409
Phone (808) 586-2890

Other practice location 2

17801 Industrial Farm Rd
Bakersfield, CA 93308-9599
Phone (661) 391-3190

Other identifiers 1

IdentifierTypeStateIssuer
258OtherHIDOSR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
16145CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Mental Health Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1639412042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY STE 2093",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E BELLE TER",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073871",
            "telephone_number": "661-391-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132409",
            "country_code": "US",
            "telephone_number": "808-586-2890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17801 Industrial Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933089599",
            "country_code": "US",
            "telephone_number": "661-391-3190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "FORREST",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "16145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOSR",
            "identifier": "258",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.