Individual provider Active NPI

Tigran Khachatryan

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1013276872
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A127412 Issued in CA
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

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A127412 CA
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319001721 CA Practitioner - Cardiovascular Disease (Cardiology) 6507160165 Reassigns benefits to 2 organizations

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
Heartbeat Cardiovascular Medical GroupGroup PAC ID 0840258778, 9 clinicians

Practice addresses (Care Compare)

660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600

Hospital & facility affiliations

  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127412CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartbeat Cardiovascular Medical Group Single Specialty CurrentSince Oct 20, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 16, 2018 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

  • Direct secure messaging: txk111pcs@m580.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.