Forever Medical Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

FOREVER MEDICAL CENTER

Practice address

1630 Oakland Rd
Suite a-202
San Jose, CA 95131-2449

Phone

(408) 452-7968

Fax

(408) 984-2456

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John Marienthal

Title

Owner

Phone

(408) 452-7968

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1972732972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CRONIN DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516719",
            "telephone_number": "408-452-7968",
            "fax_number": "408-984-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD",
            "address_2": "SUITE A-202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312449",
            "telephone_number": "408-452-7968",
            "fax_number": "408-984-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "MARIENTHAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-452-7968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest Ambulatory Surgical Associates LLC
• Forest Anesthesia Medical Group Inc
• Forest Avenue Medical Group
• Megan Foret, PSYD
• Xiaofeng Hu Foret, L.AC
• Mark D Forman, PHD
• Josephine Lucille Formoso
• Marie Jan Foronda-Cayabyab
• Laura Kathleen Forrest, PTA
• Bryan Forrester, PHD

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.