Marina Khachatrian, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A69378 Issued in CA

Practice address

12643 Sherman Way
Unit I
N Hollywood, CA 91605

Phone

(818) 759-0095

Fax

(818) 759-0049

NPI assigned

Oct 25, 2006

Last updated

Sep 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

General Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Distinctive Home Health, Inc Home health agency, La Crescenta, CA, CCN 559263
• Oxnard Home Health Care, Inc Home health agency, Glendale, CA, CCN 559176
• HHS Homecare, Inc Home health agency, Sun Valley, CA, CCN 553106
• Divine Mercy Home Health Care, Inc Home health agency, Glendale, CA, CCN 553105
• Sigma Home Health Care, Inc Home health agency, Glendale, CA, CCN 059185

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Khachatrian Medical Corp

  • Primary Care Clinic/Center
  • North Hollywood, CA
  • NPI 1225348006
  Medicare reassignment Authorized official
• Astra Health Services, Inc.

  dba Paramount Hospice

  • Community Based Hospice Care Agency
  • Encino, CA
  • NPI 1205132859
  NPD (past)
• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Distinctive Home Health, Inc.

  • Home Health Agency
  • La Crescenta, CA
  • NPI 1649760281
  Care Compare affiliation
• Divine Mercy Home Healthcare Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1497152144
  Care Compare affiliation
• HHS Homecare, Inc

  • Home Health Agency
  • Sun Valley, CA
  • NPI 1023480613
  Care Compare affiliation
• Oxnard Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1245733005
  Care Compare affiliation
• Sigma Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1700060258
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1487738399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12643 SHERMAN WAY",
            "address_2": "UNIT I",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "91605",
            "telephone_number": "818-759-0095",
            "fax_number": "818-759-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12643 SHERMAN WAY",
            "address_2": "UNIT I",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "91605",
            "telephone_number": "818-759-0095",
            "fax_number": "818-759-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATRIAN",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA693780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaho Podiatry and Foot Group Apc
• Choong Il Jang, L.AC
• Elena F Kandel, M.D.
• Karo's Medical Supply Inc.
• Angelina Marie Kashih
• Khuri Foot & Ankle Podiatry Group Inc
• Oleg G Krutikov, DDS
• KWB Medical Group, Inc
• La Oasis Mental Health
• La Raiz Behavioral Solutions

• Family Medicine Physician in N Hollywood, CA
• Providers in N Hollywood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.