Active NPI
Avetis Khachikian, P.A.
- Physician Assistant
- Glendale, CA
National Provider Identifier
1811947906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14777
- Practice address
- 801 S Chevy Chase Dr
#105
Glendale, CA 91205-4431 - Phone
- (818) 242-5299
- Fax
- (818) 637-7607
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14777 | CA | Primary |
Addresses
Primary practice location
801 S Chevy Chase Dr
#105
Glendale, CA 91205-4431
Mailing address
801 S Chevy Chase Dr
Glendale, CA 91205-4432
Phone (818) 242-5299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811947906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S CHEVY CHASE DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054432",
"telephone_number": "818-242-5299",
"fax_number": "818-637-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S CHEVY CHASE DR",
"address_2": "#105",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054431",
"telephone_number": "818-242-5299",
"fax_number": "818-637-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHACHIKIAN",
"first_name": "AVETIS",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.