Nicholas Hilary Forde, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G79972 Issued in CA

Practice address

4241 Florin Rd Ste 240
Sacramento, CA 95823-2535

Phone

(916) 737-5555

Fax

(916) 391-2291

NPI assigned

Jul 11, 2006

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of California, Geffen School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspace HealthGroup PAC ID 8426157975, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sweet Angels Home Health Provider, Inc Home health agency, Sacramento, CA, CCN 059463
• Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073
• American River Home Care Home health agency, Sacramento, CA, CCN 059665
• Bay Nation Home Health Services Inc Home health agency, Newark, CA, CCN 553127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nforde769572@direct.ochin.org
• Direct secure messaging: nicholas.forde.p1@direct.wellspacehealth.nextgenshare.com

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.

• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1124112933
  Medicare reassignment Care Compare group NPD
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1114682689
  NPD
• Wellspace Health

  dba WellSpace Health Folsom Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Folsom, CA
  • NPI 1215438676
  NPD
• Chest Infectious Diseases & Critical Care Consultants Group Inc

  • Specialist
  • Sacramento, CA
  • NPI 1093849523
  NPD (past)
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1124257324
  NPD (past)
• Wellspace Health

  dba WellSpace Health Galt Dental Clinic

  • Dental Clinic/Center
  • Galt, CA
  • NPI 1669982237
  NPD (past)
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1720546724
  NPD (past)

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

• American River Home Care

  • Home Health Agency
  • Sacramento, CA
  • NPI 1811317811
  Care Compare affiliation
• Bay Nation Home Health Services Inc

  • Home Health Agency
  • Newark, CA
  • NPI 1386093714
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  dba Sutter Care at Home

  • Home Health Agency
  • Sacramento, CA
  • NPI 1649209412
  Care Compare affiliation
• Sweet Angels Home Health Provider, Inc.

  • Home Health Agency
  • Sacramento, CA
  • NPI 1780968438
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1821023862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154227",
            "telephone_number": "916-469-4690",
            "fax_number": "916-563-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD STE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-737-5555",
            "fax_number": "916-391-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE",
        "first_name": "NICHOLAS",
        "middle_name": "HILARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Douglas Ford, PA-C
• Rachelle Ford, MD
• Samantha Ford
• Taylan Ford
• Tricia Ford
• Adene Hering Fordyce, ACSW
• Daniel Foreman
• Lindsay J Foreman
• Michaela C Foreman
• Forensic Blood Services

• Family Medicine Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.