STEVEN DANIEL FORMAN MD
NPI 1851971121
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Steven Daniel Forman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Steven Forman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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.
Which organization bills Medicare for Steven Forman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Forman reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Steven Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Steven Daniel Forman, MD · NPI 1851971121
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1851971121 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 N STATE ST, CLINIC TOWER, SUITE A7D, Los Angeles, CA 90089-1001
- **Phone:** (561) 573-4766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851971121) · Data from the CMS NPPES public registry.