Aelita Khachatrian, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A127694 Issued in CA

Practice address

558 Saint Charles Drive
Suite 110, 111, 124, 204
Thousand Oaks, CA 91360-3967

Phone

(951) 278-5590

Fax

(951) 272-9924

NPI assigned

Apr 25, 2011

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

RheumatologyAlso: Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.57 of 100Reported as group

Quality

62.42

Promoting interoperability

76

Improvement activities

40

Cost

76.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aelita.khachatrian.p1@direct.lakeside.nextgenshare.com

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.

• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642

  Rheumatology

  Medicare reassignment Care Compare group NPD
• Shariar Cohen MD Corp

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1831331073
  Medicare reassignment NPD
• Mahyar Okhovat, M.D. Inc

  • Neurology Physician
  • Agoural Hills, CA
  • NPI 1922484054
  NPD (past)

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1306137476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DRIVE",
            "address_2": "SUITE 110, 111, 124, 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603967",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATRIAN",
        "first_name": "AELITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A127694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Rebecca Kerstein, DPT
• Talia Keshishian, MD
• Charles Wesley Ketcham, D.D.S.
• Franky Kintaudi Keto
• Kevin P McNamee DC a Professional Chiropractic Corp
• Payan Khalepari, DMD
• Mariam Ehab Khalil
• Nicholas E Khan
• Sohrab Kharabaf
• Anusha Kharel

• Rheumatology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.