Individual provider Active NPI

Marla Fabian, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1356092795
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95032340 Issued in CA
Practice address
701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625
Phone
(310) 993-4103
Fax
(805) 494-8385
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95107060 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95032340 CA Primary

Addresses

Primary practice location

701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625

Mailing address

701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625
Phone (310) 993-4103

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411000718 CA Practitioner - Nurse Practitioner 2264956234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceanside Medical Group a Medical CorporationGroup PAC ID 9335311042, 18 clinicians

Practice addresses (Care Compare)

701 Santa Monica Blvd
Suite 230
Santa Monica, CA 90401-2625
Phone (310) 993-4103

Hospital & facility affiliations

  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158
  • Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032340CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Medical Group, a Medical Corporation CurrentSince Apr 1, 2025 Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

320 Cattle Call Dr
Brawley, CA 92227
Phone (760) 344-5431

1100 W Morton Ave
Porterville, CA 93257
Phone (559) 782-1509

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

701 Santa Monica Blvd
Ste 230
Santa Monica, CA 90401
Phone (310) 993-4103

44280 Campanula Way
Temecula, CA 92592
Phone (951) 302-1122

867 E 11th St
Upland, CA 91786
Phone (909) 227-0750

Organizations & group practices 1

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1356092795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD STE 230",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012625",
            "telephone_number": "310-993-4103",
            "fax_number": "805-494-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD STE 230",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012625",
            "telephone_number": "310-993-4103",
            "fax_number": "805-494-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "MARLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95107060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.