NPIMap

Individual provider Active NPI

Hrach Khudatyan, M.D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1720050032
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60871 Issued in CA
Practice address
134 N Glendale Ave
Glendale, CA 91206-4451
Phone
(818) 662-8858
Fax
(818) 662-8987
NPI assigned
Feb 2, 2006
Reactivated
Apr 4, 2006
Last updated
Sep 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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 A60871 CA Primary

Addresses

Primary practice location

134 N Glendale Ave
Glendale, CA 91206-4451

Mailing address

134 N Glendale Ave
Glendale, CA 91206-4451
Phone (818) 662-8858

Other identifiers 1

IdentifierTypeStateIssuer
00A608711MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000859 CA Practitioner - Family Practice 4284700055 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognacare Neurologic IncGroup PAC ID 4981125531, 17 clinicians

Practice addresses (Care Compare)

134 N Glendale Ave
Glendale, CA 91206-4451
Phone (818) 662-8858

1451 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4056
Phone (818) 265-2245

511 Western Ave
Glendale, CA 91201-2870
Phone (818) 240-5588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions599
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60871CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Razmik Ohanjanian MD Inc Current Accepting new patients
Hrach Khudatyan MD Inc CurrentSince Jun 30, 2000 Accepting new patients
Hrach Khudatyan Medical Corporation Current Accepting new patients
Vahe Akopian MD Inc CurrentSince Apr 28, 2025 Accepting new patients
Cognacare Neurologic, Inc CurrentSince Apr 28, 2025 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

134 N Glendale Ave
Glendale, CA 91206
Phone (818) 662-8858

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

511 Western Ave
Glendale, CA 91201
Phone (818) 240-5588

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: khudatyanh@khm-ca.direct.office.nextgen.com

Organizations & group practices 9

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 10

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1720050032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064451",
            "telephone_number": "818-662-8858",
            "fax_number": "818-662-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064451",
            "telephone_number": "818-662-8858",
            "fax_number": "818-662-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUDATYAN",
        "first_name": "HRACH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-09-15",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A608711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.