Organization Active NPI

Lisa Matzer MD a Professional Corporation

  • Cardiovascular Disease Physician
  • Burbank, CA
National Provider Identifier
1679656094
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G67253 Issued in CA
Legal business name
LISA MATZER MD A PROFESSIONAL CORPORATION
Practice address
2121 W Magnolia Blvd
Burbank, CA 91506-1706
Phone
(818) 840-9200
Fax
(310) 472-5828
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dr. Lisa Matzer, M.D.NPI 1295727741
Title
President
Phone
(310) 472-5828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G67253 CA Primary

Addresses

Primary practice location

2121 W Magnolia Blvd
Burbank, CA 91506-1706

Mailing address

2095 Summit Point Dr
Los Angeles, CA 90049-6852
Phone (310) 472-5828

Other practice location 1

12626 Riverside Dr Ste 303
Valley Village, CA 91607-3476
Phone (818) 840-9200

Other identifiers 1

IdentifierTypeStateIssuer
00G672530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000226 CA Part B Supplier - Clinic/Group Practice 6507947504 Receives reassigned benefits from 1 practitioner
Practice locations: Studio City, CA; Valley Village, CA; Burbank, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1679656094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 SUMMIT POINT DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496852",
            "telephone_number": "310-472-5828",
            "fax_number": "310-472-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061706",
            "telephone_number": "818-840-9200",
            "fax_number": "310-472-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12626 Riverside Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916073476",
            "country_code": "US",
            "telephone_number": "818-840-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LISA MATZER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "MATZER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-472-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G67253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G672530",
            "state": "CA"
        }
    ],
    "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 Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.