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MARY KAVUKCHYAN FNP-C
NPI 1275339947
Nurse Practitioner - Family in Glendale, CA

Active since February 21, 2025PECOS Enrolled
800 S CENTRAL AVE STE 308, GLENDALE, CA 91204(818) 332-2233 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Feb 21, 2025 (2 updates tracked since 2025).

About Mary Kavukchyan Fnp-c NPPES

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

MARY KAVUKCHYAN FNP-C (NPI 1275339947) is an individual family provider in Glendale, California, licensed in California (95033315) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275339947
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY KAVUKCHYANCredential: FNP-C
Location Address800 S CENTRAL AVE STE 308Glendale, CA 91204-4644
Mailing Address800 S Central Ave Ste 308Glendale, CA 91204-4644 · (818) 332-2233
Phone(818) 332-2233
Sole ProprietorYes
Enumeration DateFebruary 21, 2025
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1275339947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95033315
800 S CENTRAL AVE STE 308, Glendale, CA 91204
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Kavukchyan Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Kavukchyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gold Care Golden State Medical
Same address
General Practice
800 S CENTRAL AVE STE 302
Glendale, CA 91204
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1356929558 (818) 332-2233

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 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.

Other Providers at the Same Location NPPES 2

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

THERESE SALAMA ABRAHAM P.A.-C
Physician Assistant (Medical)
800 S CENTRAL AVE STE 308
GLENDALE, CA 91204
Los Angeles County (818) 549-8800
MRS. NARA SARGSIAN PA-C
Physician Assistant (Surgical)
800 S CENTRAL AVE STE 308
GLENDALE, CA 91204
Los Angeles County (818) 549-8800

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 Mary Kavukchyan's NPI number?

The NPI number for Mary Kavukchyan is 1275339947. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Where is Mary Kavukchyan located?

Mary Kavukchyan practices at 800 S Central Ave Ste 308, Glendale, CA 91204. The listed phone number is (818) 332-2233.

What is Mary Kavukchyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Kavukchyan enrolled in Medicare?

Yes. Mary Kavukchyan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Kavukchyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kavukchyan reassigns Medicare benefits to Gold Care Golden State Medical (Glendale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Kavukchyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Kavukchyan was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.