Clinical Intervention Group, LLC
NPI 1063695690ActiveOrganization· Pharmacist, Geriatric· Glendale, CA
Pharmacist, Geriatric in Glendale, California, registered in NPPES in December 2007. The authorized official on file is Esan Forde, PHARM.D, CGP, MS, Chief Operating Officer.
Overview
| NPI | 1063695690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2007 |
| Last updated in NPPES | Dec 5, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Geriatric Primary | 1835G0303X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|