Active NPI
Tigran Khachatryan
- Cardiovascular Disease Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A127412
- Practice address
- 660 W Broadway
Glendale, CA 91204-1008 - Phone
- (818) 243-9600
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A127412 | CA | |
| Interventional Cardiology Physician | 207RI0011X | A127412 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A127412 | CA | Primary |
Addresses
Primary practice location
660 W Broadway
Glendale, CA 91204-1008
Mailing address
660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600
Other practice location 1
8700 Beverly Blvd.
Los Angeles, CA 90048
Phone (310) 423-3277
Other practice location 2
11234 Anderson St Ste 2426
Loma Linda, CA 92354-2804
Phone (909) 558-7674
Other practice location 3
660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Wisconsin School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600
Hospital & facility affiliations
- Glendale Mem Hospital & HLTH Center
- Glendale Adventist Medical Center
- Hollywood Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 16 |
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127412 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartbeat Cardiovascular Medical Group | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
1809 Verdugo Blvd
Ste 220
Glendale, CA 91208
Phone (818) 495-7041
1577 E Chevy Chase Dr
Ste 260
Glendale, CA 91206
Phone (818) 246-8000
1809 Verdugo Blvd
Glendale, CA 91208
Phone (213) 483-8810
660 W Broadway
Glendale, CA 91204
Phone (818) 243-9600
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1300 N Vermont Ave
Ste 1009
Los Angeles, CA 90027
Phone (323) 666-6210
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- txk111pcs@m580.primeclinicalsystems.direct-ci.com
- tkhachatryan252774@direct.llu.edu
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Glendale, CA
- NPI 1205898525
Single Specialty
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
Single Specialty
-
- Neurological Surgery Physician
- Murrieta, CA
- NPI 1912004920
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1013276872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 W BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041008",
"telephone_number": "818-243-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 W BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041008",
"telephone_number": "818-243-9600"
}
],
"practiceLocations": [
{
"address_1": "8700 Beverly Blvd.",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90048",
"country_code": "US",
"telephone_number": "310-423-3277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11234 Anderson St Ste 2426",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-7674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "660 W Broadway",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912041008",
"country_code": "US",
"telephone_number": "818-243-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHACHATRYAN",
"first_name": "TIGRAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A127412",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A127412",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A127412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.