Individual provider Active NPI

Arlene Torres Fabian, NP

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1376988899
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22792 Issued in CA
Practice address
1825 N Avon St
Burbank, CA 91505-1506
Phone
(818) 557-1347
NPI assigned
May 10, 2013
Last updated
May 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22792 CA Primary

Addresses

Primary practice location

1825 N Avon St
Burbank, CA 91505-1506

Mailing address

1825 N Avon St
Burbank, CA 91505-1506
Phone (818) 557-1347

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
I20140604001602 CA Practitioner - Nurse Practitioner 5799694030 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22792CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Jan 18, 2020 Accepting new patients
Immediate Healthcare Clinic, Inc. Family CurrentSince Sep 22, 2014 Accepting new patients
Rightcare Home Health Services, Inc. PastSince Apr 1, 2011 Accepting new patients

Locations

11507 Oxnard St
Ste 3
North Hollywood, CA 91606
Phone (818) 508-3050

15206 Parthenia St
Sepulveda, CA 91343

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Starbright Home Health Services, Inc.Thousand Oaks, CA, CCN 058449 Home health agency Operational/Managerial Control (5%) Nov 1, 2012
Healthy Choice Home Care IncSherman Oaks, CA, CCN 059232 Home health agency W-2 Managing Employee Sep 5, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1376988899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N AVON ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051506",
            "telephone_number": "818-557-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N AVON ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051506",
            "telephone_number": "818-557-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "ARLENE",
        "middle_name": "TORRES",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.