Mary Kavukchyan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95033315 Issued in CA

Practice address

800 S Central Ave Ste 308
Glendale, CA 91204-4644

Phone

(818) 332-2233

NPI assigned

Feb 21, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gold Care Golden State Medical

  • General Practice Physician
  • Glendale, CA
  • NPI 1356929558

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1275339947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044644",
            "telephone_number": "818-332-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044644",
            "telephone_number": "818-332-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVUKCHYAN",
        "first_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Katter
• Kelly Nord Katzberg, M.D.
• Elizabeth Allen Kauffmann, LMFT
• Simran Kaur
• Armen Kavoukjian
• Keitaro Kawaguchi, PHARMD
• Kay Marketing Inc
• Kayichian Despina, M.D., Inc
• Christopher K Kaypekian, M.D.
• Natalie A Kayseryan

• Family Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.