Gore C Khachatrian

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA64597 Issued in CA

Practice address

1311 N San Fernando Blvd
Burbank, CA 91504-4236

Phone

(818) 843-9900

NPI assigned

Jul 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All-Inclusive Community Health CenterGroup PAC ID 5294905006, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Burbank, CA
  • NPI 1093019051
  Medicare reassignment Care Compare group
• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1174996177
  NPD
• All-Inclusive Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Northridge, CA
  • NPI 1982179008
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1184358780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE UNIT 7",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038897",
            "telephone_number": "714-595-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044236",
            "telephone_number": "818-843-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Eagle Rock Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900653668",
            "country_code": "US",
            "telephone_number": "323-255-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHACHATRIAN",
        "first_name": "GORE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KH Home Health Services Inc
• Elinar Khachadorian
• Mariam Khachanyan
• Alen Khachatourian, D.C.
• Mary Khachatourian, PHARM. D
• Asya Khachatryan
• Kristen Khachikian
• Artyom Khachikyan, PSYD
• Naeiri Khachkian
• Sarineh Khajehsari, FNP

• Physician Assistant in Burbank, CA
• Providers in Burbank, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.

Verify at the official NPI Registry.