Dr Marta Ima Atalla, MD is a medicare enrolled "Specialist" physician in San Fernando, California. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
557 N Maclay Ave, San Fernando, California. You can reach out to her office (for appointments etc.) via phone at
(818) 639-0210.
Dr Marta Ima Atalla is licensed to practice in California (license number A121879) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457687204.
Physician's Profile
Full Name | Dr Marta Ima Atalla |
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Gender | Female |
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Speciality | Pediatric Medicine |
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Experience | 34 Years |
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Location | 557 N Maclay Ave, San Fernando, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Marta Ima Atalla graduated from medical school in 1990
NPI Data:
- NPI Number: 1457687204
- Provider Enumeration Date: 10/29/2009
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890822084
- Enrollment ID: I20130620000603
Medical Identifiers
Medical identifiers for Dr Marta Ima Atalla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457687204 | NPI | - | NPPES |
061833974 | Medicaid | AR | |
1457687204 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | T2009-123 (Arkansas) | Secondary |
208000000X | Pediatrics | A121879 (California) | Secondary |
174400000X | Specialist | A121879 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Marta Ima Atalla allows following entities to bill medicare on her behalf.
Entity Name | Southern California Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225357114 PECOS PAC ID: 2769666817 Enrollment ID: O20110607000460 |
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Entity Name | Atalla Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356963417 PECOS PAC ID: 4284051327 Enrollment ID: O20200903000777 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marta Ima Atalla is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Marta Ima Atalla, MD 557 N Maclay Ave, San Fernando, CA 91340-2424 Ph: (818) 639-0209 | Dr Marta Ima Atalla, MD 557 N Maclay Ave, San Fernando, CA 91340-2424 Ph: (818) 639-0210 |
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