Kristen Forman MD Inc
NPI 1073950325ActiveOrganization· Dermatology, Procedural Dermatology· Newport Beach, CA
Dermatology, Procedural Dermatology in Newport Beach, California, registered in NPPES in May 2013. The authorized official on file is Kristen Forman, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073950325 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2013 |
| Last updated in NPPES | Oct 28, 2026 |
| Certified by provider | Oct 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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