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

Kristen Carter Forman, MD

Individual provider Dermatology Physician · NPI 1992750335

Kristen Carter Forman, MD is a Dermatology in Newport Beach, California. Graduated from University of California, Geffen School of Medicine in 1999, 27 years ago. Practices with Kristen Forman MD Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
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

1617 Westcliff Dr
Newport Beach, CA 92660-5524
Phone: (949) 515-4111
Fax: (949) 515-0318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence I28015 (CA)

Record details

NPI number1992750335
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Kristen Forman Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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