Individual provider Active NPI

Robert Khatchatourian, PMHNP-BC, FNP-C, DNP

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1235640970
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95008473 Issued in CA
Practice address
2101 Hillhurst Ave
Los Angeles, CA 90027
Phone
(323) 664-2931
NPI assigned
Oct 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95008473 CA Primary

Addresses

Primary practice location

2101 Hillhurst Ave
Los Angeles, CA 90027

Mailing address

2101 Hillhurst Ave
Los Angeles, CA 90027-2003
Phone (323) 664-2931

Other practice location 1

201 N Brand Blvd
Glendale, CA 91203-3588
Phone (818) 726-9746

Other identifiers 3

IdentifierTypeStateIssuer
F10170746OtherCATHE AMERICAN ACADEMY OF NURSE PRACTITIONERS (AANP) BOARD CERTIFICATION
NP95008473OtherCAFNP LICENSURE
2026018472OtherCAAMERICAN NURSES CREDENTIALING CENTER

Other names 1

  • Dr. Robert Khatchatourian Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508001347 CA Practitioner - Nurse Practitioner 4486918000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Burton M D a Medical Group Inc CurrentSince Mar 31, 2018 Accepting new patients

Locations

2101 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 664-2931

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1235640970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272003",
            "telephone_number": "323-664-2931",
            "fax_number": "323-664-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-664-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912033588",
            "country_code": "US",
            "telephone_number": "818-726-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATCHATOURIAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC, FNP-C, DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN ACADEMY OF NURSE PRACTITIONERS (AANP) BOARD CERTIFICATION",
            "identifier": "F10170746",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSURE",
            "identifier": "NP95008473",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2026018472",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "KHATCHATOURIAN",
            "prefix": "DR.",
            "credential": "PMHNP-BC, FNP-C, DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.