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DR. TODD FORMAN, INC.
NPI 1730378902
Clinic/Center - Medical Specialty in Newport Beach, CA

Active since October 23, 2007
351 HOSPITAL RD, SUITE 406, NEWPORT BEACH, CA 92663(949) 646-7733(949) 646-6155 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Todd Forman, Inc. NPPES

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

DR. TODD FORMAN, INC. (NPI 1730378902) is a healthcare organization registered as a medical specialty in Newport Beach, California and active in the NPI registry since October 2007. The organization lists Todd A. Forman, President, as its authorized official.

NPPES Registry Identity

NPI1730378902
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDR. TODD FORMAN, INC.
Location Address351 HOSPITAL RD, SUITE 406Newport Beach, CA 92663-3509
Mailing Address351 Hospital Rd, Suite 406Newport Beach, CA 92663-3509 · (949) 646-7733 · Fax (949) 646-6155
Phone(949) 646-7733
Fax(949) 646-6155
Organization SubpartNo
Authorized OfficialTodd A. FormanPresident · (949) 646-7733
Enumeration DateOctober 23, 2007
✔ NPI 1730378902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · A67377
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
351 HOSPITAL RD, Newport Beach, CA 92663
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Other Identifiers 2

Medicare PINW19461CA
Medicare UPINH29292CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Todd 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 Dr. Todd Forman, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Todd Forman, M.D.
Family Practice
NPI 1033178025
3333 W COAST HWY SUITE 500
Newport Beach, CA 92663
(949) 646-7733
✔ PECOS✔ Accepts Medicare0.4 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 Dr. Todd Forman, Inc.'s NPI number?

The NPI number for Dr. Todd Forman, Inc. is 1730378902. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Dr. Todd Forman, Inc. located?

Dr. Todd Forman, Inc. is located at 351 Hospital Rd Suite 406, Newport Beach, CA 92663. The listed phone number is (949) 646-7733.

What is Dr. Todd Forman, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Dr. Todd Forman, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Dr. Todd Forman, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr. Todd 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 Dr. Todd Forman, Inc. was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.