Individual provider Active NPI

Sirvard Khanoyan, MD

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1669424586
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80900 Issued in CA
Practice address
544 N Glendale Ave Ste B
Glendale, CA 91206-3311
Phone
(747) 212-3441
NPI assigned
May 17, 2006
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A80900 CA Primary

Addresses

Primary practice location

544 N Glendale Ave Ste B
Glendale, CA 91206-3311

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600

Other practice location 1

1975 Verdugo Blvd Ste A
LA Canada Flintridge, CA 91011-3024
Phone (747) 212-3441

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041103000620 CA Practitioner - Family Practice 9133181928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1560 E Chevy Chase Dr
Suite 355
Glendale, CA 91206-4159
Phone (747) 212-3441

2750 Sycamore Dr
Simi Valley, CA 93065-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A80900CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2025 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Jul 17, 2025 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Jul 17, 2025 Accepting new patients
Adventist Health Physicians Network Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Cedars-Sinai Medical Center PastSince Aug 1, 2004 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1560 E Chevy Chase Dr
Ste 355
Glendale, CA 91206
Phone (747) 212-3441

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1975 Verdugo Blvd
Ste A
La Canada Flintridge, CA 91011
Phone (747) 212-3441

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1669424586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 N GLENDALE AVE STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063311",
            "telephone_number": "747-212-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Verdugo Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Canada Flintridge",
            "state": "CA",
            "postal_code": "910113024",
            "country_code": "US",
            "telephone_number": "747-212-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANOYAN",
        "first_name": "SIRVARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.