Individual provider Active NPI

Sela Khachikyan

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1942065339
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028822 Issued in CA
Practice address
3600 N Verdugo Rd Ste 202
Glendale, CA 91208-1258
Phone
(818) 369-7470
NPI assigned
Feb 15, 2024
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028822 CA Primary

Addresses

Primary practice location

3600 N Verdugo Rd Ste 202
Glendale, CA 91208-1258

Mailing address

PO Box 4412
Glendale, CA 91222-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022004809 CA Practitioner - Nurse Practitioner 6901339498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emil Avanes MD a Professional CorporationGroup PAC ID 2062661580, 2 clinicians

Practice addresses (Care Compare)

3217 N Verdugo Rd
Suite 1
Glendale, CA 91208-1676
Phone (818) 369-7470

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emil Avanes, M.D., a Professional Corporation CurrentSince Aug 2, 2024 Accepting new patients
Life Energy Physical Therapy, Inc. PastSince Feb 18, 2024 Accepting new patients

Locations

3217 N Verdugo Rd
Ste 1
Glendale, CA 91208
Phone (818) 337-4448

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sela.khachikyan.1@8237.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1942065339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4412",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912220412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081258",
            "telephone_number": "818-369-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHIKYAN",
        "first_name": "SELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.