STEFAN FORNALSKI MD
NPI 1124167812
Neuromusculoskeletal Medicine & OMM in Anaheim, CA

Q: What is Stefan Fornalski's NPI number?

The NPI number for Stefan Fornalski is 1124167812. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Stefan Fornalski's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Stefan Fornalski was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment

441 N LAKEVIEW AVE, ANAHEIM, CA 92807(888) 988-2800 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stefan Fornalski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFAN FORNALSKI MD (NPI 1124167812) is an individual neuromusculoskeletal medicine & omm provider in Anaheim, California, licensed in California (A77952) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2000).

NPPES Registry Identity

NPI1124167812

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameSTEFAN FORNALSKICredential: MD

Location Address441 N LAKEVIEW AVEAnaheim, CA 92807-3028

Mailing Address441 N Lakeview AveAnaheim, CA 92807-3028 · (888) 988-2800

Phone(888) 988-2800

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2000

Enumeration DateFebruary 6, 2007

Last NPPES UpdateDecember 3, 2021

✔ NPI 1124167812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in CA · A77952

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

441 N LAKEVIEW AVE, Anaheim, CA 92807

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stefan Fornalski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103985890

PECOS Enrollment IDI20081110000848

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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