Active NPI
Gagik Khoylyan, M.D.
- Pediatrics Physician
- Glendale, CA
National Provider Identifier
1821253261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A100597
- 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
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 |
|---|---|---|---|---|
| Pediatrics Physician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| A100597 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr G Khoylyan MD Inc | Single Specialty | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1568567220
Single Specialty
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
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.