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Organization

Kristen Forman MD Inc

NPI Record: ActiveDermatology — Procedural Dermatology
NPI1073950325
Newport Beach, California

Provider's NPPES record last updated: May 28, 2013

Overview

Entity Type
Organization
NPI
1073950325
Primary Specialty
Dermatology — Procedural Dermatology
Practice Location
Newport Beach, California
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:41 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Procedural Dermatology

    Allopathic & Osteopathic Physicians

    Primary

    Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

    Taxonomy code 207NS0135X

Practice Locations

Practice Location

1617 Westcliff Dr

100

Newport Beach, California 92660-5524

Phone: (949) 515-4111

Record Information

Enumeration Date
May 28, 2013
Provider's NPPES Record Last Updated
May 28, 2013
NPISignal NPPES Dataset
August 2026

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