MARY RITA KHACHATRYAN
NPI 1982553624
Nurse Practitioner in Glendale, CA

Active since January 26, 2026
1055 KILDONAN DR, GLENDALE, CA 91207(818) 823-8357 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Jan 26, 2026 (2 updates tracked since 2026).

About Mary Rita Khachatryan NPPES

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

MARY RITA KHACHATRYAN (NPI 1982553624) is an individual nurse practitioner in Glendale, California, licensed in California (95313376) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1982553624
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY RITA KHACHATRYAN
Location Address1055 KILDONAN DRGlendale, CA 91207-1103
Mailing Address1055 Kildonan DrGlendale, CA 91207-1103 · (818) 823-8357
Sole ProprietorYes
Enumeration DateJanuary 26, 2026
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1982553624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95313376
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1055 KILDONAN DR, Glendale, CA 91207

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 Khachatryan's NPI number?

The NPI number for Mary Khachatryan is 1982553624. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Mary Khachatryan located?

Mary Khachatryan practices at 1055 Kildonan Dr, Glendale, CA 91207. The listed phone number is (818) 823-8357.

What is Mary Khachatryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Khachatryan was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.