Individual provider Active NPI

Tyler S Forbes, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1730114679
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26282 Issued in CA
Practice address
11199 Sorrento Valley Road
201
San Diego, CA 92121-1334
Phone
(858) 768-6111
Fax
(858) 768-6116
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26282 CA Primary

Addresses

Primary practice location

11199 Sorrento Valley Road
201
San Diego, CA 92121-1334

Mailing address

11199 Sorrento Valley Road
201
San Diego, CA 92121-1334
Phone (858) 768-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707001093 CA Practitioner - Chiropractic 0648216986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forbes Family Chiropractic a Professional CorporationGroup PAC ID 5597936914, 2 clinicians

Practice addresses (Care Compare)

11199 Sorrento Valley Rd
Suite 201
San Diego, CA 92121-1334
Phone (858) 768-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26282CAMDChiropractor
26282CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forbes Family Chiropractic, a Professional Corporation Chiropractor CurrentSince Mar 1, 2011 Accepting new patients
McClinton Chiropractic Corp Chiropractor Past Accepting new patients

Locations

11199 Sorrento Valley Rd
Ste 201
San Diego, CA 92121
Phone (858) 768-6111

11199 Sorrento Valley Rd
#2
San Diego, CA 92121
Phone (858) 768-6111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1730114679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY ROAD",
            "address_2": "201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "858-768-6111",
            "fax_number": "858-768-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY ROAD",
            "address_2": "201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "858-768-6111",
            "fax_number": "858-768-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "TYLER",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.