Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chantal Veronique Forfota, MD

Individual provider Psychiatry Physician · NPI 1932410388

Chantal Veronique Forfota, MD is a Psychiatry Physician in San Rafael, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 4th St Ste 795
San Rafael, CA 94901-3120
Phone: (415) 922-9122
Fax: (415) 920-9925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 582 Market St Ste 812, San Francisco, CA 94104-5309 — (415) 922-9122

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A119000 (CA)

Record details

NPI number1932410388
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2010
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

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