Individual provider Active NPI

Mariam Rubyan

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1548026008
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028826 Issued in CA
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

Updated by the provider on Feb 22, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103000734 CA Practitioner - Nurse Practitioner 7416355060 Reassigns benefits to 1 organization

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
First Aid Urgent Care IncGroup PAC ID 6709106453, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Everett Home Health CurrentSince Nov 10, 2021 Accepting new patients
Everett Hospice Care Inc Current Accepting new patients
First Aid Urgent Care Inc CurrentSince Oct 24, 2024 Accepting new patients
Anaheim Urgent Care, Inc. PastSince Oct 24, 2024 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.

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

Verify at the official NPI Registry.