GORE C KHACHATRIAN
NPI 1184358780
Physician Assistant in Burbank, CA

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
1311 N SAN FERNANDO BLVD, BURBANK, CA 91504(818) 843-9900 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2025, Jun 18, 2024, Jul 11, 2022 (3 updates tracked since 2022).

About Gore C Khachatrian NPPES

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

GORE C KHACHATRIAN (NPI 1184358780) is an individual physician assistant in Burbank, California, licensed in California (PA64597) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Southern California Keck School Of Medicine (2024).

NPPES Registry Identity

NPI1184358780
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGORE C KHACHATRIAN
Location Address1311 N SAN FERNANDO BLVDBurbank, CA 91504-4236
Mailing Address1000 S Fremont Ave Unit 7Alhambra, CA 91803-8897 · (714) 595-7494
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2024
Enumeration DateJuly 11, 2022
Last NPPES UpdateFebruary 15, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2025
NPI 1184358780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA64597
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1311 N SAN FERNANDO BLVD, Burbank, CA 91504

Secondary Practice Location 1

Location 13920 Eagle Rock Blvd Ste ALos Angeles, CA 90065-3668 · Phone (323) 255-5225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gore C Khachatrian is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456899533
PECOS Enrollment IDI20240820004165
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 91504 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504
Physician Assistant
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504
Social Worker (Clinical)
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504
Family Medicine
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504
Chiropractor
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504
Chiropractor
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504
Pediatrics
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504
Nurse Practitioner
1311 N SAN FERNANDO BLVD
BURBANK, CA 91504

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 Gore Khachatrian's NPI number?

The NPI number for Gore Khachatrian is 1184358780. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Gore Khachatrian located?

Gore Khachatrian practices at 1311 N San Fernando Blvd, Burbank, CA 91504. The listed phone number is (818) 843-9900.

What is Gore Khachatrian's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gore Khachatrian enrolled in Medicare?

Yes. Gore Khachatrian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gore Khachatrian was last updated on February 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.