Active NPI
Lisa K Matzer, M.D.
- Cardiovascular Disease Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G67253
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G673530 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G67253 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Matzer MD a Professional Corporation | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- Burbank, CA
- NPI 1679656094
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.