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MARIAM KHACHATRYAN MD
NPI 1487340022
Family Medicine in Porter Ranch, CA

Active since April 17, 2023PECOS EnrolledAccepts Medicare Assignment
19950 RINALDI ST STE 103, PORTER RANCH, CA 91326(818) 403-2410 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2026, Jul 9, 2026, May 3, 2023 (3 updates tracked since 2023).

About Mariam Khachatryan Md NPPES

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

MARIAM KHACHATRYAN MD (NPI 1487340022) is an individual family medicine provider in Porter Ranch, California, licensed in California (A207348) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487340022
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIAM KHACHATRYANCredential: MD
Location Address19950 RINALDI ST STE 103Porter Ranch, CA 91326-4254
Mailing Address19950 Rinaldi St Ste 103Porter Ranch, CA 91326-4254 · (818) 403-2410
Phone(818) 403-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 17, 2023
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1487340022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A207348
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19950 RINALDI ST STE 103, Porter Ranch, CA 91326
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariam Khachatryan Md 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 ID4183188030
PECOS Enrollment IDI20260710003689
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 Mariam Khachatryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Facey Medical Foundation
9.5 mi
Internal Medicine
26357 MCBEAN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 684 clinicians in this Medicare group
NPI 1710031588 (661) 222-2600

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 91326 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.

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 Mariam Khachatryan's NPI number?

The NPI number for Mariam Khachatryan is 1487340022. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Mariam Khachatryan located?

Mariam Khachatryan practices at 19950 Rinaldi St Ste 103, Porter Ranch, CA 91326. The listed phone number is (818) 403-2410.

What is Mariam Khachatryan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mariam Khachatryan enrolled in Medicare?

Yes. Mariam Khachatryan 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.

Which organization bills Medicare for Mariam Khachatryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Khachatryan reassigns Medicare benefits to Providence Facey Medical Foundation (Valencia, 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 Mariam Khachatryan'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 Mariam Khachatryan was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.