Individual provider Active NPI

Tigran Khachatryan, MD

  • Neurology Physician
  • Glendale, CA
National Provider Identifier
1982108981
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A174703 Issued in CA
Practice address
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
Phone
(380) 888-1818
Fax
(800) 965-8353
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A174703 CA Primary

Addresses

Primary practice location

1505 Wilson Ter Ste 150
Glendale, CA 91206-4076

Mailing address

1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
Phone (380) 888-1818

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112002417 CA Practitioner - Neurology 4082023437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 4082510250, 27 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

116 N Artsakh Ave
Suite 125
Glendale, CA 91206-4772

1505 Wilson Terrace
Suite 150
Glendale, CA 91206-4000
Phone (380) 888-1818

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP279KYMDFamily Medicine Physician
A174703CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jul 1, 2023 Accepting new patients
Tigran Khachatryan, M.D. Inc Neurology CurrentSince Jun 10, 2025 Accepting new patients
Cep America - Neurology PC Neurology Past Accepting new patients
University of California Irvine Past Accepting new patients
The Regents of the University of California-Irvine Past Accepting new patients

Locations

1505 Wilson Ter
Ste 150
Glendale, CA 91206
Phone (818) 275-4759

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

101 The City Dr S
Ste 400
Orange, CA 92868
Phone (714) 456-5691

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tigrankhachatryanmdinc.tigrankhachatryan@161947.advancedmd-direct.com

Organizations & group practices 5

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 3

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1982108981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 150",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064076",
            "telephone_number": "380-888-1818",
            "fax_number": "800-965-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 150",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064076",
            "telephone_number": "380-888-1818",
            "fax_number": "800-965-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATRYAN",
        "first_name": "TIGRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A174703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.