Mr John Cornelius Forsyth, MD | |
2081 Bronze Star Dr, Woodland, CA 95776-5423 | |
(530) 668-2600 | |
(530) 669-5339 |
Full Name | Mr John Cornelius Forsyth |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 2081 Bronze Star Dr, Woodland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487674461 | NPI | - | NPPES |
080012846 | Other | CA | RR MEDICARE |
P00745177 | Other | CA | MEDICARE RAILROAD CARRIER |
00G692350 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | G69235 (California) | Primary |
207R00000X | Internal Medicine | G69235 (California) | Secondary |
Entity Name | Dignity Health Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Mr John Cornelius Forsyth, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Mr John Cornelius Forsyth, MD 2081 Bronze Star Dr, Woodland, CA 95776-5423 Ph: (530) 668-2600 |
Dr. Sammy Jafar Almashat, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-5339 | |
Wanda J. Blaylark, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-5339 | |
Dr. Aimee Christine Sisson, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 137 N. Cottonwood St, Woodland, CA 95695 Phone: 530-666-8765 |