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MARIAM KARENI KHACHATRYAN NP
NPI 1932069440
Nurse Practitioner - Family in Glendale, CA

Active since November 17, 2025PECOS EnrolledAccepts Medicare Assignment
3340 DEER CREEK LANE, GLENDALE, CA 91208(916) 833-0452 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariam Kareni Khachatryan Np NPPES

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

MARIAM KARENI KHACHATRYAN NP (NPI 1932069440) is an individual family provider in Glendale, California, licensed in California (95036208) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932069440
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAM KARENI KHACHATRYANCredential: NP
Location Address3340 DEER CREEK LANEGlendale, CA 91208
Mailing Address3340 Deer Creek LaneGlendale, CA 91208 · (916) 833-0452
Phone(916) 833-0452
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 17, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1932069440 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 · 95036208
3340 DEER CREEK LANE, Glendale, CA 91208
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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

Mariam Kareni Khachatryan Np 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 ID1850885930
PECOS Enrollment IDI20251216002363
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 91208 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 1932069440. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Mariam Khachatryan located?

Mariam Khachatryan practices at 3340 Deer Creek Lane, Glendale, CA 91208. The listed phone number is (916) 833-0452.

What is Mariam Khachatryan's specialty?

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

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.

When was this NPI record last updated?

The NPPES record for Mariam Khachatryan was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.