Individual provider Active NPI

Mariya A Zakiuddin, M.D.

  • Pediatrics Physician
  • Burbank, CA
National Provider Identifier
1871948638
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A149668 Issued in CA
Practice address
500 E Olive Ave
Suite 240
Burbank, CA 91501-2171
Phone
(818) 391-2400
Fax
(818) 391-2409
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A149668 CA Primary

Addresses

Primary practice location

500 E Olive Ave
Suite 240
Burbank, CA 91501-2171

Mailing address

500 E Olive Ave Ste 240
Burbank, CA 91501-2171
Phone (818) 391-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149668CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariya a Zakiuddin, MD, a Medical Corporation Pediatrics Current Accepting new patients

Locations

500 E Olive Ave
Ste 240
Burbank, CA 91501
Phone (818) 391-2400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mariya.zakiuddin.1@31467.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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1871948638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 240",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012171",
            "telephone_number": "818-391-2400",
            "fax_number": "818-391-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE",
            "address_2": "SUITE 240",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012171",
            "telephone_number": "818-391-2400",
            "fax_number": "818-391-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKIUDDIN",
        "first_name": "MARIYA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A149668",
            "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 Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.