NPIMap

Organization Active NPI

Azatyan, Khachatryan, a Professional Dental Corporation

  • Dental Clinic/Center
  • El Centro, CA
National Provider Identifier
1528948015
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AZATYAN, KHACHATRYAN, A PROFESSIONAL DENTAL CORPORATION
Practice address
1502 S la Brucherie Rd Ste B
El Centro, CA 92243-9495
Phone
(760) 993-6345
NPI assigned
Sep 4, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Hamlet Khachatryan, DDSNPI 1720572787
Title
Owner
Phone
(818) 300-5849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1502 S la Brucherie Rd Ste B
El Centro, CA 92243-9495

Mailing address

1502 S la Brucherie Rd Ste B
El Centro, CA 92243-9495

National Provider Directory

National Provider Directory

Locations

1502 S La Brucherie Rd
Ste B
El Centro, CA 92243
Phone (760) 993-6345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1528948015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S LA BRUCHERIE RD STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S LA BRUCHERIE RD STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439495",
            "telephone_number": "760-993-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZATYAN, KHACHATRYAN, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-300-5849",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.