Active NPI
Shane G Forsting, D.O.
- Orthopaedic Surgery Physician
- Madera, CA
National Provider Identifier
1649719055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20A19956
- Practice address
- 9300 Valley Childrens PL # SC05
Madera, CA 93636-8761 - Phone
- (559) 353-5700
- Fax
- (559) 353-5708
- NPI assigned
- Feb 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20A19956 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Mailing address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5700
Other practice location 1
5131 Beacon Hill Road
Suite 160
Columbus, OH 43228
Phone (614) 544-1837
Other practice location 2
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A19956 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Valley Children'S Medical Group | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients |
Interoperability endpoints
- sforsting78295@valleychildrens-prd.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1649719055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5700",
"fax_number": "559-353-5708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5700",
"fax_number": "559-353-5708"
}
],
"practiceLocations": [
{
"address_1": "5131 Beacon Hill Road",
"address_2": "Suite 160",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43228",
"country_code": "US",
"telephone_number": "614-544-1837",
"fax_number": "614-544-2816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041601",
"country_code": "US",
"telephone_number": "650-497-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORSTING",
"first_name": "SHANE",
"middle_name": "G",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-17",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A19956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.