INNOVATIVE MEDICAL GROUP NJ, LLC
NPI 1417685256
Clinic/Center - Primary Care in San Francisco, CA
About Innovative Medical Group Nj, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE MEDICAL GROUP NJ, LLC (NPI 1417685256), doing business as Forward, is a healthcare organization registered as a primary care in San Francisco, California and active in the NPI registry since August 2022. The organization lists Nathan Favini, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94107
SAN FRANCISCO, CA 94107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Innovative Medical Group Nj, LLC's NPI number?
The NPI number for Innovative Medical Group Nj, LLC is 1417685256. It was assigned to this organization in the NPPES registry on August 10, 2022. The provider is doing business as Forward.
Where is Innovative Medical Group Nj, LLC located?
Innovative Medical Group Nj, LLC is located at 660 4th St # 202, San Francisco, CA 94107. The listed phone number is (415) 349-0850.
What is Innovative Medical Group Nj, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Innovative Medical Group Nj, LLC was last updated on August 10, 2022. 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.
# Innovative Medical Group Nj, Llc · NPI 1417685256
Primary Care organization in San Francisco, California. Organization record, active in the CMS NPPES registry since August 10, 2022.
## Identity
- **NPI:** 1417685256 (Entity type: Organization)
- **Enumerated:** August 10, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Forward (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Nathan Favini, MANAGER
## Practice location
- **Address:** 660 4TH ST # 202, San Francisco, CA 94107-1618
- **Phone:** (415) 349-0850
## Record status
- **NPPES last updated:** August 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417685256) · Data from the CMS NPPES public registry.