Individual provider Active NPI

Marshall Zablen, MD

  • Internal Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1275866519
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C33586 Issued in CA
Practice address
6265 Sepulveda Blvd Suite 13
Van Nuys, CA 91411-1130
Phone
(818) 779-1900
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C33586 CA Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X C33586 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X C33586 CA

Addresses

Primary practice location

6265 Sepulveda Blvd Suite 13
Van Nuys, CA 91411-1130

Mailing address

6265 Sepulveda Blvd Suite 13
Van Nuys, CA 91411-1130
Phone (818) 779-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000311 CA Practitioner - Internal Medicine 8820271141 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C33586CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolence Industries Inc. Past Accepting new patients
Mid City Associates Medical Group PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1275866519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD SUITE 13",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111130",
            "telephone_number": "818-779-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD SUITE 13",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111130",
            "telephone_number": "818-779-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLEN",
        "first_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C33586",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "C33586",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "C33586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.