Individual provider Active NPI

Lisa K Matzer, M.D.

  • Cardiovascular Disease Physician
  • Burbank, CA
National Provider Identifier
1295727741
Registry record updated Aug 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G67253 Issued in CA
Practice address
2121 W Magnolia Blvd
Burbank, CA 91506-1706
Phone
(818) 840-9200
Fax
(310) 472-5828
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G67253 CA Primary

Addresses

Primary practice location

2121 W Magnolia Blvd
Burbank, CA 91506-1706

Mailing address

2095 Summit Point Dr
Los Angeles, CA 90049-6852
Phone (310) 472-5828

Other identifiers 1

IdentifierTypeStateIssuer
00G673530MedicaidCA

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
I20050121000540 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204885759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Yale University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12626 Riverside Dr
Suite 506
Studio City, CA 91607-3461
Phone (818) 840-9200

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67253CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Matzer MD a Professional Corporation Cardiovascular Disease CurrentSince Oct 17, 2007 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

2121 W Magnolia Blvd
Burbank, CA 91506
Phone (818) 566-9774

1505 Wilson Ter
Ste 150
Glendale, CA 91206
Phone (818) 275-4759

12626 Riverside Dr
Ste 303
Valley Village, CA 91607
Phone (424) 209-7787

12626 Riverside Dr
Valley Vlg, CA 91607
Phone (818) 752-9792

12626 Riverside Dr
Ste 506
Valley Vlg, CA 91607
Phone (818) 508-9190

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281830400000",
    "number": "1295727741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 SUMMIT POINT DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496852",
            "telephone_number": "310-472-5828",
            "fax_number": "310-472-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061706",
            "telephone_number": "818-840-9200",
            "fax_number": "310-472-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZER",
        "first_name": "LISA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G67253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G673530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.