Michael Richard Forrest, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G38437 Issued in CA

Practice address

6380 Clark Ave
Dublin, CA 94568-3036

Phone

(510) 830-3100

Fax

(510) 830-3316

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bay Valley Medical Group, Inc.

  • Pediatrics Physician
  • Castro Valley, CA
  • NPI 1497760870
  NPD (past)
• Sutter East Bay Medical Foundation

  • Clinical Medical Laboratory
  • Berkeley, CA
  • NPI 1831381623
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1700859352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 CLARK AVE",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683036",
            "telephone_number": "925-875-1677",
            "fax_number": "925-875-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 CLARK AVE",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683036",
            "telephone_number": "510-830-3100",
            "fax_number": "510-830-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G38437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G38437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Forcadilla
• Raven Ford
• Vanessa Irene Foreman
• Dominique Forestier
• Ayanna Denee Forks
• Faith Franklin
• Michael Franklin
• Karla Frassinetti
• Nicolas Frasula
• Katherine Frazier

• Radiation Oncology Physician in Dublin, CA
• Providers in Dublin, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.