Active NPI
Kristy Khacherian
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1316858897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95037313
- Practice address
- 590 N Vermont Ave
Los Angeles, CA 90004-2115 - Phone
- (323) 284-7998
- NPI assigned
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95037313 | CA | Primary |
Addresses
Primary practice location
590 N Vermont Ave
Los Angeles, CA 90004-2115
Mailing address
14358 Cohasset St
Van Nuys, CA 91405-1428
Phone (323) 823-4777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1316858897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14358 COHASSET ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051428",
"telephone_number": "323-823-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900042115",
"telephone_number": "323-284-7998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHACHERIAN",
"first_name": "KRISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95037313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.