1. Home
  2. Directory
  3. California
  4. Greenbrae
  5. Surgery
  6. NPI Profile

DANA FORMAN, INC.
NPI 1497588800
Surgery in Greenbrae, CA

Active since August 21, 2024
250 BON AIR RD, GREENBRAE, CA 94904(559) 210-4030 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dana Forman, Inc. NPPES

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

DANA FORMAN, INC. (NPI 1497588800) is a healthcare organization registered as a surgery in Greenbrae, California and active in the NPI registry since August 2024. The organization lists Dana Lynn Forman, Owner, as its authorized official.

NPPES Registry Identity

NPI1497588800
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDANA FORMAN, INC.
Location Address250 BON AIR RDGreenbrae, CA 94904-1702
Mailing Address18 Grover CtWalnut Creek, CA 94596-6307 · (559) 210-4030
Phone(559) 210-4030
Organization SubpartNo
Authorized OfficialDana Lynn FormanOwner · (559) 210-4030
Enumeration DateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1497588800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
250 BON AIR RD, Greenbrae, CA 94904
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Forman, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dana Forman, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dana Forman, D.O.
General Surgery
NPI 1437319399
2823 FRESNO ST
Fresno, CA 93721
(559) 459-6000
✔ PECOS✔ Accepts Medicare173 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dana Forman, Inc.'s NPI number?

The NPI number for Dana Forman, Inc. is 1497588800. It was assigned to this organization in the NPPES registry on August 21, 2024.

Where is Dana Forman, Inc. located?

Dana Forman, Inc. is located at 250 Bon Air Rd, Greenbrae, CA 94904. The listed phone number is (559) 210-4030.

What is Dana Forman, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dana Forman, Inc. enrolled in Medicare?

Yes. Dana Forman, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dana Forman, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Dana Forman, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dana Forman, Inc. was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.