MKHITARYAN MEDICAL CORP
NPI 1659145746
Clinic/Center - Primary Care in Glendale, CA
About Mkhitaryan Medical Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MKHITARYAN MEDICAL CORP (NPI 1659145746) is a healthcare organization registered as a primary care in Glendale, California and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Vahe Mkhitaryan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mkhitaryan Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mkhitaryan Medical Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2319541
Mkhitaryan Medical Corp · Glendale, CAFrequently 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 Mkhitaryan Medical Corp's NPI number?
The NPI number for Mkhitaryan Medical Corp is 1659145746. It was assigned to this organization in the NPPES registry on November 9, 2023.
Where is Mkhitaryan Medical Corp located?
Mkhitaryan Medical Corp is located at 1030 S Glendale Ave Ste 307, Glendale, CA 91205. The listed phone number is (818) 220-7191.
What is Mkhitaryan Medical Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mkhitaryan Medical Corp enrolled in Medicare?
Yes. Mkhitaryan Medical Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mkhitaryan Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mkhitaryan Medical Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mkhitaryan Medical Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2319541) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mkhitaryan Medical Corp was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mkhitaryan Medical Corp · NPI 1659145746
Primary Care organization in Glendale, California. Organization record, active in the CMS NPPES registry since November 9, 2023.
## Identity
- **NPI:** 1659145746 (Entity type: Organization)
- **Enumerated:** November 9, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Vahe Mkhitaryan, CEO
## Practice location
- **Address:** 1030 S GLENDALE AVE STE 307, Glendale, CA 91205-2866
- **Phone:** (818) 220-7191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659145746) · Data from the CMS NPPES public registry.