Individual provider Active NPI

Vahe Mkhitaryan

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1689137838
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A180405 Issued in CA
Practice address
1030 S Glendale Ave Ste 307
Glendale, CA 91205-2866
Phone
(818) 220-7191
Fax
(213) 686-6152
NPI assigned
Apr 12, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A180405 CA Primary

Addresses

Primary practice location

1030 S Glendale Ave Ste 307
Glendale, CA 91205-2866

Mailing address

1030 S Glendale Ave Ste 307
Glendale, CA 91205-2866
Phone (747) 215-6144

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
I20221019002022 CA Practitioner - Internal Medicine 6608242490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Superior Hospitalist Medical Group IncGroup PAC ID 1456650928, 75 clinicians

Practice addresses (Care Compare)

1030 S Glendale Ave
Suite 307
Glendale, CA 91205-2866
Phone (818) 220-7191

1680 E 120TH St
Los Angeles, CA 90059-3026
Phone (424) 338-8000

437 S Pacific Ave
Glendale, CA 91204-1441
Phone (818) 241-1500

710 S Central Ave
Suite 350
Glendale, CA 91204-4647
Phone (818) 616-7557

800 S Central Ave
Suite 308
Glendale, CA 91204-4644
Phone (818) 549-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180405CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Mar 21, 2025 Accepting new patients
All for Health Health for All Inc Current Accepting new patients
Mkhitaryan Medical Corp CurrentSince Nov 11, 2023 Accepting new patients
All for Health Health for All Inc CurrentSince Mar 21, 2025 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1030 S Glendale Ave
Ste 307
Glendale, CA 91205
Phone (818) 220-7191

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

800 S Central Ave
Ste 308
Glendale, CA 91204
Phone (818) 332-2233

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vahe.mkhitaryanmd.p1@direct.afh.nextgenshare.com

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1689137838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 307",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "747-215-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 307",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-220-7191",
            "fax_number": "213-686-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKHITARYAN",
        "first_name": "VAHE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A180405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.