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CHANTAL VERONIQUE FORFOTA M.D.
NPI 1932410388
Psychiatry & Neurology - Psychiatry in San Rafael, CA

Active since June 30, 2010PECOS Enrolled
1000 4TH ST STE 795, SAN RAFAEL, CA 94901(415) 922-9122(415) 920-9925 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Chantal Veronique Forfota M.d. NPPES

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

CHANTAL VERONIQUE FORFOTA M.D. (NPI 1932410388) is an individual psychiatry provider in San Rafael, California, licensed in California (A119000) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1932410388
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCHANTAL VERONIQUE FORFOTACredential: M.D.
Location Address1000 4TH ST STE 795San Rafael, CA 94901-3120
Mailing Address1000 4th St Ste 795San Rafael, CA 94901-3120 · (415) 922-9122 · Fax (415) 920-9925
Phone(415) 922-9122
Fax(415) 920-9925
Sole ProprietorNo
Enumeration DateJune 30, 2010
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1932410388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A119000
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1000 4TH ST STE 795, San Rafael, CA 94901
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Secondary Practice Location 1

Location 1582 Market St Ste 812San Francisco, CA 94104-5309 · Phone (415) 922-9122

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chantal Veronique Forfota M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Chantal Forfota's NPI number?

The NPI number for Chantal Forfota is 1932410388. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Chantal Forfota located?

Chantal Forfota practices at 1000 4th St Ste 795, San Rafael, CA 94901. The listed phone number is (415) 922-9122.

What is Chantal Forfota's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Chantal Forfota enrolled in Medicare?

Yes. Chantal Forfota is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chantal Forfota was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.