Active NPI
Tigran Khachatryan, MD
- Neurology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A174703
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP279 | KY | MD | Family Medicine Physician |
| A174703 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Tigran Khachatryan, M.D. Inc | Neurology | Current | 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
- 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.
-
- Neurological Surgery Physician
- Orange, CA
- NPI 1659329746
-
- Neurology Physician
- Glendale, CA
- NPI 1942099320
-
- Hospitalist Physician
- Orange, CA
- NPI 1154479723
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- Neurology Physician
- Terre Haute, IN
- NPI 1124843586
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.