Individual provider Active NPI

Maria Sabau, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Sherman Oaks, CA
National Provider Identifier
1619481447
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54349 Issued in CA
Practice address
4251 Murietta Ave
Sherman Oaks, CA 91423-4224
Phone
(617) 653-5623
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54349 CA Primary

Addresses

Primary practice location

4251 Murietta Ave
Sherman Oaks, CA 91423-4224

Mailing address

4251 Murietta Ave
Sherman Oaks, CA 91423-4224
Phone (617) 653-5623

Other identifiers 3

IdentifierTypeStateIssuer
MS1072381JOtherMACONTROLLED SUBSTANCE REGISTRATION
54349OtherCAPA LICENCE
PA6019OtherMAPA LICENSE

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
I20180209002144 CA Practitioner - Physician Assistant 6305106493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend Health IncGroup PAC ID 6406160803, 14 clinicians

Practice addresses (Care Compare)

1701 W Verdugo Ave
Burbank, CA 91506-2147
Phone (818) 843-8555

4312 Woodman Ave
Suite 102
Sherman Oaks, CA 91423-5523
Phone (818) 646-2562

4849 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-2115
Phone (818) 646-4928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54349CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: maria.sabau.1@25159.direct.athenahealth.com

Organizations & group practices 1

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619481447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 MURIETTA AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234224",
            "telephone_number": "617-653-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 MURIETTA AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234224",
            "telephone_number": "617-653-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAU",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "MS1072381J",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENCE",
            "identifier": "54349",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA6019",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.