NPIMap

Individual provider Active NPI

Henrik Khatchatourian, MD

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1750477279
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A55623 Issued in CA
Practice address
445 W. Broadway
Glendale, CA 91204
Phone
(818) 241-2103
Fax
(818) 241-1090
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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 A55623 CA Primary

Addresses

Primary practice location

445 W. Broadway
Glendale, CA 91204

Mailing address

445 W. Broadway
Glendale, CA 91204
Phone (818) 241-2103

Other identifiers 1

IdentifierTypeStateIssuer
00A556230MedicaidCA

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
I20100818001005 CA Practitioner - General Practice 8921132549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Americare Medical IncGroup PAC ID 8729505474, 3 clinicians

Practice addresses (Care Compare)

445 W Broadway
Glendale, CA 91204-1208
Phone (818) 241-2103

Hospital & facility affiliations

  • Trusting Care Home Health Services, Inc Home health agency, Burbank, CA, CCN 559228
  • A&K Home Health, Inc Home health agency, Glendale, CA, CCN 559230
  • Central Home Health Agency Home health agency, Glendale, CA, CCN 059035
  • Gamma Home Health, Inc Home health agency, Burbank, CA, CCN 559479
  • Top Rated Home Health, Inc Home health agency, Glendale, CA, CCN 757234
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55623CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Americare Medical Inc Family Medicine CurrentSince Mar 30, 2025 Accepting new patients
Anait Galfaian Family Medicine CurrentSince May 16, 2009 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

445 W Broadway
Glendale, CA 91204
Phone (818) 241-2103

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1750477279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W. BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-241-2103",
            "fax_number": "818-241-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W. BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-241-2103",
            "fax_number": "818-241-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATCHATOURIAN",
        "first_name": "HENRIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A556230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.