DR. RAFFI JOHN KHECHOUMIAN DPM
NPI 1124715701
Podiatrist - Foot & Ankle Surgery in Sherman Oaks, CA
About Dr. Raffi John Khechoumian Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAFFI JOHN KHECHOUMIAN DPM (NPI 1124715701) is an individual foot & ankle surgery provider in Sherman Oaks, California, licensed in California (6165) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Raffi John Khechoumian Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raffi Khechoumian's NPI number?
The NPI number for Raffi Khechoumian is 1124715701. It was assigned to this individual provider in the NPPES registry on April 24, 2023.
Where is Raffi Khechoumian located?
Raffi Khechoumian practices at 4849 Van Nuys Blvd Ste 205A, Sherman Oaks, CA 91403. The listed phone number is (310) 828-0011.
What is Raffi Khechoumian's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Raffi Khechoumian enrolled in Medicare?
Yes. Raffi Khechoumian is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Raffi Khechoumian was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Raffi John Khechoumian, DPM · NPI 1124715701
Foot & Ankle Surgery provider in Sherman Oaks, California. Individual provider, active in the CMS NPPES registry since April 24, 2023.
## Identity
- **NPI:** 1124715701 (Entity type: Individual)
- **Enumerated:** April 24, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 6165 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4849 VAN NUYS BLVD STE 205A, Sherman Oaks, CA 91403-2110
- **Phone:** (310) 828-0011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124715701) · Data from the CMS NPPES public registry.