Active NPI
Mariam Rubyan
- Family Nurse Practitioner
- Burbank, CA
National Provider Identifier
1548026008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95028826
- Practice address
- 912 University Ave
Burbank, CA 91504-3034 - Phone
- (818) 731-4523
- NPI assigned
- Feb 22, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95028826 | CA | Primary |
Addresses
Primary practice location
912 University Ave
Burbank, CA 91504-3034
Mailing address
912 University Ave
Burbank, CA 91504-3034
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7204 Foothill Blvd
Tujunga, CA 91042-2719
Phone (818) 352-8333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everett Home Health | Current | Accepting new patients | |
| Everett Hospice Care Inc | Current | Accepting new patients | |
| First Aid Urgent Care Inc | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc. | Past | Accepting new patients |
Locations
7204 Foothill Blvd
Tujunga, CA 91042
Phone (818) 237-6200
9064 Van Nuys Blvd
Van Nuys, CA 91402
Phone (818) 352-8333
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Tujunga, CA
- NPI 1760889190
-
- Home Health Agency
- Burbank, CA
- NPI 1174118178
-
- Community Based Hospice Care Agency
- Sun Valley, CA
- NPI 1003403239
-
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1962680033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1548026008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 UNIVERSITY AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 UNIVERSITY AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043034",
"telephone_number": "818-731-4523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBYAN",
"first_name": "MARIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95028826",
"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 Feb 22, 2024; 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.