Individual provider Active NPI

Kaycee Ann Forinash

  • Family Nurse Practitioner
  • Tarzana, CA
National Provider Identifier
1689382327
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95194455 Issued in CA
Practice address
5650 Reseda Blvd
Tarzana, CA 91356-2230
Phone
(818) 881-4261
NPI assigned
Nov 11, 2022
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95194455 CA Primary

Addresses

Primary practice location

5650 Reseda Blvd
Tarzana, CA 91356-2230

Mailing address

1752 E Avenida de Las Flores
Thousand Oaks, CA 91362-1511
Phone (818) 477-7008

Other practice location 1

1240 S Westlake Blvd Ste 137
Westlake Village, CA 91361-1988
Phone (818) 597-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106002328 CA Practitioner - Nurse Practitioner 7810367844 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians
Midwest Post-Acute Care of California PCGroup PAC ID 4183905490, 2 clinicians

Practice addresses (Care Compare)

1240 S Westlake Blvd
Suite 137
Westlake Village, CA 91361-1988
Phone (805) 217-4055

2353 23Rd St
Eureka, CA 95501-3201
Phone (707) 445-3261

7447 Sepulveda Blvd
Van Nuys, CA 91405-1631
Phone (818) 787-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95194455CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Jul 16, 2023 Accepting new patients
Midwest Post-Acute Care of California PC CurrentSince Dec 1, 2022 Accepting new patients
Trillium Med Spa Cosmetic Surgery and Laser Center CurrentSince Dec 18, 2023 Accepting new patients
Mpac SMH of California PC CurrentSince Feb 8, 2023 Accepting new patients
Midwest Post Acute Care PLLC Past Accepting new patients
Trillium Med Spa, Cosmetic Surgery, & Laser Center Past Accepting new patients

Locations

5454 Walnut Ave
Chino, CA 91710
Phone (760) 450-5679

1980 Felicita Rd
Escondido, CA 92025
Phone (740) 741-6109

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

6400 Purdue Dr
Eureka, CA 95503
Phone (707) 443-5668

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

4681 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (323) 257-8151

1575 Skyline Dr
Monterey, CA 93940
Phone (831) 373-2731

3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193

2351 Loveridge Rd
Pittsburg, CA 94565
Phone (925) 427-4444

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

501 Jessie Ave
Sacramento, CA 95838
Phone (916) 922-8855

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

830 E Chapel St
Santa Maria, CA 93454
Phone (805) 544-5100

6940 Pacific Ave
Stockton, CA 95207
Phone (209) 477-0817

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

5650 Reseda Blvd
Tarzana, CA 91356
Phone (818) 881-4261

250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

7057 Shoup Ave
West Hills, CA 91307
Phone (818) 348-8422

8605 Santa Monica Blvd
West Hollywood, CA 90069

1240 S Westlake Blvd
Ste 137
Westlake Vlg, CA 91361
Phone (805) 217-4055

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

Organizations & group practices 7

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": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1689382327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 E AVENIDA DE LAS FLORES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621511",
            "telephone_number": "818-477-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 RESEDA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562230",
            "telephone_number": "818-881-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Westlake Blvd Ste 137",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913611988",
            "country_code": "US",
            "telephone_number": "818-597-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORINASH",
        "first_name": "KAYCEE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2025-05-27",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95194455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.