Individual provider Active NPI

Gagik Khoylyan, M.D.

  • Pediatrics Physician
  • Glendale, CA
National Provider Identifier
1821253261
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A100597 Issued in CA
Practice address
500 N Central Ave Ste 440
Glendale, CA 91203-3951
Phone
(818) 839-4160
Fax
(818) 839-4164
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A100597 CA Primary

Addresses

Primary practice location

500 N Central Ave Ste 440
Glendale, CA 91203-3951

Mailing address

5148 Sky Ridge Dr
Glendale, CA 91214-1025
Phone (818) 839-4160

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100597CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr G Khoylyan MD Inc Single Specialty CurrentSince Nov 18, 2025 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
All for Health Health for All Inc Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gagik.khoylyan.p1@direct.afh.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1821253261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 SKY RIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141025",
            "telephone_number": "818-839-4160",
            "fax_number": "818-839-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 440",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033951",
            "telephone_number": "818-839-4160",
            "fax_number": "818-839-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOYLYAN",
        "first_name": "GAGIK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A100597",
            "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 Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.