LUSINE MKHITARYAN
NPI 1104750702
Nurse Practitioner - Primary Care in Glendale, CA

Q: What is Lusine Mkhitaryan's NPI number?

The NPI number for Lusine Mkhitaryan is 1104750702. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Q: What is Lusine Mkhitaryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Lusine Mkhitaryan was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2026PECOS Enrolled

519 E BROADWAY, GLENDALE, CA 91205(818) 409-2030 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lusine Mkhitaryan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUSINE MKHITARYAN (NPI 1104750702) is an individual primary care provider in Glendale, California, licensed in California (95039750) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104750702

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameLUSINE MKHITARYAN

Location Address519 E BROADWAYGlendale, CA 91205-1110

Mailing Address519 E BroadwayGlendale, CA 91205-1110 · (818) 409-2030

Phone(818) 409-2030

Sole ProprietorYes

Enumeration DateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1104750702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95039750

519 E BROADWAY, Glendale, CA 91205

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lusine Mkhitaryan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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