NPIMap

Individual provider Active NPI

Garry Forkosh, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
National Provider Identifier
1750519385
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A123093 Issued in CA
Practice address
5159 Via El Molino
Newbury Park, CA 91320-6995
Phone
(646) 734-2585
NPI assigned
Jun 22, 2009
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A123093 CA Primary

Addresses

Primary practice location

5159 Via El Molino
Newbury Park, CA 91320-6995

Mailing address

5159 Via El Molino
Newbury Park, CA 91320-6995
Phone (646) 734-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130531000209 CA Practitioner - Internal Medicine 9234285479 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Reaver School Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gje IncGroup PAC ID 0547522831, 2 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Advantage Hospitalists IncGroup PAC ID 7810291531, 9 clinicians

Practice addresses (Care Compare)

Newbury Park, CA 91320
Phone (646) 734-2585

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.68 of 100Reported as individual
Quality
70
Improvement activities
0
Cost
72.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
123093CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Nov 1, 2025 Accepting new patients
Kansal Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Gje Inc. Internal Medicine CurrentSince Jan 26, 2018 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Nov 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
24 On Physicians of California, PC CurrentSince Mar 15, 2016 Accepting new patients
Parichehr Tabibian, MD, a Professional Corporation Internal Medicine Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Santa Barbara Hospice and Palliative Care IncSanta Barbara, CA, CCN B21574 Hospice W-2 Managing Employee Mar 18, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1750519385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 VIA EL MOLINO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206995",
            "telephone_number": "646-734-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 VIA EL MOLINO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206995",
            "telephone_number": "646-734-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKOSH",
        "first_name": "GARRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A123093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.