Patricia Lynn Forg, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3775 Issued in CA

Practice address

3989 32ND St
San Diego, CA 92104-2001

Phone

(619) 283-2097

Fax

(619) 283-2540

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pforg25992@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Jesse Tukuafu DPM

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
  • NPI 1952225237
  NPD (past)
• Trent Brookshier DPM PC

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
  • NPI 1801530878
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1962517508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 32ND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042001",
            "telephone_number": "619-283-2097",
            "fax_number": "619-283-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 32ND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042001",
            "telephone_number": "619-283-2097",
            "fax_number": "619-283-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORG",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E3775",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Foreman, LMT
• Penny Joan Foreman, MSW
• Forest Wellness Inc
• Jacob Alidore Foret, CRNA
• Forever Blessed Home Health
• George Stephen Forgeng Jr., PMHNP-BC
• Lisa Kimberly Forgett, R.D.
• Alexis Schell Forgnone-Judd
• Cassandra Formales, PHARMD
• Daniel Formano, SFIDC

• Foot & Ankle Surgery Podiatrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.