Individual provider Active NPI

Mae Lian Missana

  • Physician Assistant
  • Burbank, CA
National Provider Identifier
1699400267
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
353 N Pass Ave Ste D
Burbank, CA 91505-3877
Phone
(818) 482-2273
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 Primary

Addresses

Primary practice location

353 N Pass Ave Ste D
Burbank, CA 91505-3877

Mailing address

353 N Pass Ave
Burbank, CA 91505-3883
Phone (818) 482-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221003002059 DC Practitioner - Physician Assistant 3072999713 Reassigns benefits to 1 organization
I20260226002620 CA Practitioner - Physician Assistant 3072999713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dna Medical Partners ApmcGroup PAC ID 3678970852, 4 clinicians

Practice addresses (Care Compare)

353 N Pass Ave
Suite D
Burbank, CA 91505-3877
Phone (818) 482-2273

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
90.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65283CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Medical Partners, Apmc CurrentSince Jan 13, 2026 Accepting new patients

Locations

353 N Pass Ave
Ste D
Burbank, CA 91505
Phone (818) 482-2273

Organizations & group practices 2

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1699400267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N PASS AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053883",
            "telephone_number": "818-482-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N PASS AVE STE D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053877",
            "telephone_number": "818-482-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSANA",
        "first_name": "MAE",
        "middle_name": "LIAN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.