Active NPI
Karine Khatchatrian, MD
- Psychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C53513
- Practice address
- 15373 Innovation Dr Ste 390
San Diego, CA 92128-3429 - Phone
- (855) 501-1004
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C53513 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 218914-1 | NY |
Addresses
Primary practice location
15373 Innovation Dr Ste 390
San Diego, CA 92128-3429
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other practice location 1
11770 Bernardo Plaza Ct
Suite#370
San Diego, CA 92128-2422
Phone (619) 528-4600 ext. 6415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02164818 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15373 Innovation Dr
Suite 390
San Diego, CA 92128-3429
Phone (619) 528-4600
6010 Hidden Valley Rd
Suite 115
Carlsbad, CA 92011-4219
Phone (855) 501-1004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53513 | CA | MD | Psychiatry Physician |
| 218914-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine M.D. Professional Corporation | Psychiatry | Current | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Psychiatry | Current | Accepting new patients |
| University Group Medical Associates, P.C | Psychiatry | Past | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Past | Accepting new patients | |
| Jewish Board for Family and Children Services | Past | Accepting new patients | |
| Khatchatrian Medical PC | Past | Accepting new patients | |
| Jewish Board of Family and Children's Services, Inc. | Past | Accepting new patients |
Locations
6010 Hidden Valley Rd
Ste 115
Carlsbad, CA 92011
Phone (760) 797-8494
4700 Spring St
Ste 220
La Mesa, CA 91942
Phone (619) 667-3380
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
11770 Bernardo Plaza Ct
Ste 370
San Diego, CA 92128
Phone (858) 673-3360
15373 Innovation Dr
Ste 390
San Diego, CA 92128
Phone (858) 673-3360
Interoperability endpoints
- karine.khatchatrian.p1@direct.pcsd.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Mindpath Health
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841241585
-
dba Community Psychiatry Associates
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1366685430
-
dba The Jewish Board
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
-
- Specialist
- Brooklyn, NY
- NPI 1215212154
-
dba Coney Island Medical Group
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1689687634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15373 INNOVATION DR STE 390",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283429",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [
{
"address_1": "11770 Bernardo Plaza Ct",
"address_2": "Suite#370",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921282422",
"country_code": "US",
"telephone_number": "619-528-4600 x6415",
"fax_number": "619-528-4625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHATCHATRIAN",
"first_name": "KARINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C53513",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "218914-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02164818",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.