Organization Active NPI

Matisa Durable Equipment

  • Durable Medical Equipment & Medical Supplies
  • Burbank, CA
National Provider Identifier
1407669252
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MATISA DURABLE EQUIPMENT
Practice address
300 N 3Rd St # 128
Burbank, CA 91502-1107
Phone
(818) 391-0634
NPI assigned
Jan 27, 2025
Organization subpart
Yes
Parent organization
MATISA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Elena Meliksetian
Title
Ceo
Phone
(818) 391-0634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

300 N 3Rd St # 128
Burbank, CA 91502-1107

Mailing address

300 N 3Rd St # 128
Burbank, CA 91502-1107

National Provider Directory

National Provider Directory

Locations

300 N 3rd St
#128
Burbank, CA 91502
Phone (818) 391-0634

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1407669252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 3RD ST # 128",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 3RD ST # 128",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021107",
            "telephone_number": "818-391-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATISA DURABLE EQUIPMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATISA INC",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MELIKSETIAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-391-0634"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.