Individual provider Active NPI

Justine Strolis Forbes, MD

  • Psychiatry Physician
  • Los Gatos, CA
National Provider Identifier
1740579523
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A18411 Issued in CA
Practice address
400 Carlton Avenue
#5
Los Gatos, CA 95032-2629
Phone
(408) 354-5775
Fax
(408) 402-5920
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A18411 CA Primary

Addresses

Primary practice location

400 Carlton Avenue
#5
Los Gatos, CA 95032-2629

Mailing address

400 Carlton Avenue
#5
Los Gatos, CA 95032-2629
Phone (408) 354-5775

Other identifiers 1

IdentifierTypeStateIssuer
7116730MedicaidCA

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 Medicine

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1740579523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CARLTON AVENUE",
            "address_2": "#5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322629",
            "telephone_number": "408-354-5775",
            "fax_number": "408-402-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARLTON AVENUE",
            "address_2": "#5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322629",
            "telephone_number": "408-354-5775",
            "fax_number": "408-402-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "JUSTINE",
        "middle_name": "STROLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A18411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.