Forest Avenue Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

(MULTIPLE PROVIDERS) Issued in CA

Legal business name

FOREST AVENUE MEDICAL GROUP

Practice address

2100 Forest Ave
Suite 104
San Jose, CA 95128-1422

Phone

(408) 292-2552

Fax

(408) 292-1943

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J. McGuire, M.D.

Title

Partner

Phone

(408) 292-2552

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871712174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FOREST AVE",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281422",
            "telephone_number": "408-292-2552",
            "fax_number": "408-292-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FOREST AVE",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281422",
            "telephone_number": "408-292-2552",
            "fax_number": "408-292-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST AVENUE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "408-292-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "(MULTIPLE PROVIDERS)",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE EMPLOYER NUMBER",
            "identifier": "181-2872-8",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camilo Andres Forero-Mendoza Sr.
• Foresight Health Medical West PC
• Foresight Optometric Group (Foresight Optometry)
• Forest Ambulatory Surgical Associates LLC (Forest Surgery Center)
• Forest Anesthesia Medical Group Inc
• Megan Foret, PSYD
• Xiaofeng Hu Foret, L.AC
• Forever Medical Center
• Mark D Forman, PHD
• Josephine Lucille Formoso

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.