Active NPI
George Stephen Forgeng Jr., PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95003946
- Practice address
- 1550 Hotel Cir N Ste 450
San Diego, CA 92108-2933 - Phone
- (855) 501-1004
- NPI assigned
- Aug 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95003946 | CA | Primary |
Addresses
Primary practice location
1550 Hotel Cir N Ste 450
San Diego, CA 92108-2933
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003946 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| County of San Luis Obispo | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| County of San Luis Obispo | Current | Accepting new patients | |
| County of San Luis Obispo | Current | Accepting new patients | |
| Mark David Levine, MD Burlingame PC | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
3491 Kurtz St
Ste 150
San Diego, CA 92110
Phone (619) 276-1176
3211 Jefferson St
San Diego, CA 92110
Phone (619) 682-4012
1675 Morena Blvd
San Diego, CA 92110
Phone (619) 275-8000
2178 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 781-4711
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paso Robles, CA
- NPI 1134287634
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grover Beach, CA
- NPI 1760540322
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arroyo Grande, CA
- NPI 1932563053
-
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1700109576
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1760859508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 HOTEL CIR N STE 450",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082933",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGENG",
"first_name": "GEORGE",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-27",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95003946",
"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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.