Individual provider Active NPI

George Stephen Forgeng Jr., PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1760859508
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95003946 Issued in CA
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

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211002528 CA Practitioner - Nurse Practitioner 0345505095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003946CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Sep 20, 2023 Accepting new patients
Telecare Corporation Current Accepting new patients
County of San Luis Obispo CurrentSince Sep 17, 2018 Accepting new patients
Telecare Corporation CurrentSince Sep 20, 2023 Accepting new patients
County of San Luis Obispo CurrentSince Sep 17, 2018 Accepting new patients
County of San Luis Obispo Current Accepting new patients
Mark David Levine, MD Burlingame PC PastSince Dec 21, 2025 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.

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

Verify at the official NPI Registry.