Organization Active NPI

Matisa Health and Wellness Professional Corporation

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1518832633
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MATISA HEALTH AND WELLNESS PROFESSIONAL CORPORATION
Practice address
300 N 3Rd St # 330
Burbank, CA 91502-1107
Phone
(818) 391-0634
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

300 N 3Rd St # 330
Burbank, CA 91502-1107

Mailing address

300 N 3Rd St # 330
Burbank, CA 91502-1107
Phone (818) 391-0634

National Provider Directory

National Provider Directory

Locations

300 N 3rd St
#330
Burbank, CA 91502
Phone (818) 391-0634

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1518832633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 3RD ST # 330",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021107",
            "telephone_number": "818-391-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 3RD ST # 330",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021107",
            "telephone_number": "818-391-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATISA HEALTH AND WELLNESS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Oct 8, 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.