Dr. Todd Forman, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A67377 Issued in CA

Legal business name

DR. TODD FORMAN, INC.

Practice address

351 Hospital Rd
Suite 406
Newport Beach, CA 92663-3509

Phone

(949) 646-7733

Fax

(949) 646-6155

NPI assigned

Oct 23, 2007

Last updated

Oct 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd A. Forman, M.D.NPI 1033178025

Title

President

Phone

(949) 646-7733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd Andrew Forman, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1033178025
  Medicare reassignment Authorized official
• Alexis Case

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1255035762
  NPD (past)
• Ewa B Farrelly, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1922325315
  NPD (past)
• Jean Irene Forman, MD

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1174615520
  NPD (past)
• John Paul Laura, D.O

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1063579316
  NPD (past)
• Desmond Edward McGuire, MD

  • Retina Specialist (Ophthalmology) Physician
  • Santa Ana, CA
  • NPI 1881690634
  NPD (past)
• Gabriel Stephan Niles, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1285611699
  NPD (past)
• Wanda Von Kleist, PHD

  • Psychologist
  • Newport Beach, CA
  • NPI 1518175975
  NPD (past)
• Anne Marie Walsh, P.A.

  • Medical Physician Assistant
  • Newport Beach, CA
  • NPI 1881811545
  NPD (past)
• Edmond Yu-Ping Wong, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1679623730
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1730378902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-646-7733",
            "fax_number": "949-646-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-646-7733",
            "fax_number": "949-646-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TODD FORMAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-646-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A67377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Linda Hopkins
• Dr. Pearl J Rosenstrauch, Comprehensive Psychological Services, Inc.
• Dr. Rumana Mansur and Associates, a Professional Psychological Corpora
• Dr. Russell S. Alterman, a Professional Corporation
• Dr. Shannon Curry, Psy.D., Inc. (Curry Psychology Group)
• Jessica Drew de Paz, PSY.D.
• Jane Myers Drew, PH.D.
• Steven Douglas Dreyer, D.C.
• Drlullaby LLC
• Ari Drosman

• Medical Specialty Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.