STEVEN DANIEL FORMAN MD
NPI 1851971121
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 12, 2021PECOS Enrolled
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90089(561) 573-4766 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Steven Daniel Forman Md NPPES

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

STEVEN DANIEL FORMAN MD (NPI 1851971121) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851971121
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEVEN DANIEL FORMANCredential: MD
Location Address1200 N STATE ST, CLINIC TOWER, SUITE A7DLos Angeles, CA 90089-1001
Mailing Address529 S 16th St Apt BPhiladelphia, PA 19146-1646 · (561) 573-4766
Sole ProprietorYes
Enumeration DateApril 12, 2021
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedMarch 20, 2021
NPI 1851971121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90089

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Steven Daniel Forman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Dermatology
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089

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 Steven Forman's NPI number?

The NPI number for Steven Forman is 1851971121. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Steven Forman located?

Steven Forman practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90089. The listed phone number is (561) 573-4766.

What is Steven Forman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Steven Forman enrolled in Medicare?

Yes. Steven Forman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Steven Forman was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.