Individual provider Active NPI

Karine Khatchatrian, MD

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1689687634
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C53513 Issued in CA
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

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02164818MedicaidNY

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
I20140529001744 CA Practitioner - Psychiatry 1658390570 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
C53513CAMDPsychiatry Physician
218914-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine M.D. Professional Corporation Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Jan 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.