Individual provider Active NPI

Edgar Khachaturov, CMT

  • Massage Therapist
  • Burbank, CA
National Provider Identifier
1669376067
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
175 E Olive Ave Ste 200
Burbank, CA 91502-1821
Phone
(323) 388-6036
NPI assigned
Oct 7, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

175 E Olive Ave Ste 200
Burbank, CA 91502-1821

Mailing address

1333 1/2 N Alexandria Ave
Los Angeles, CA 90027-5801
Phone (323) 388-6036

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": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1669376067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 1/2 N ALEXANDRIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275801",
            "telephone_number": "323-388-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E OLIVE AVE STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021821",
            "telephone_number": "323-388-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATUROV",
        "first_name": "EDGAR",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.