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Active NPI 1174351050 Individual Practitioner Male Practitioner

Edwin Khachatourians , PA-C

Physician Assistant • Glendale, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edwin Khachatourians, PA-C is a certified Physician Assistant practicing in Glendale, CA. With approximately 2 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2024, Edwin Khachatourians delivers high-quality medical care to the local community at 1030 S GLENDALE AVE.

Edwin Khachatourians is affiliated with Edward Samourjian Medical Corporation Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1030 S Glendale Ave
Ste 402

Glendale, CA 91205

Telephone 8182306522
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glendale, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
69 Specialists

Practicing in Glendale, CA (14617 Statewide)

Telehealth Adoption Rate
7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khachatourians (2 Years) 2 Yrs
Glendale Specialty Average (9.3 Years) 9.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA64707

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CA PA64707

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License CA PA64707

Definition to come...

Hospital & Practice Group Affiliations

Edward Samourjian Medical Corporation Inc

1030 S Glendale Ave, Glendale, CA 912052866

Phone: 8182306522

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mania Alexandrian , NP

Nurse Practitioner - Acute Care

NPI 1255271284

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 27, 2025

Registered at 1030 S GLENDALE AVE, STE 402, GLENDALE, CA 91205 (Tel: 8182306522)

NPI Profile Active July 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2024

Registered at PO BOX 8285, NORTHRIDGE, CA 913278285 (Tel: 8183073428)

📍
Updated Business Mailing Address July 23, 2024

Registered at PO BOX 8285, NORTHRIDGE, CA 913278285

👤
Provider Name / Credentials Updated July 23, 2024

Recorded as EDWIN KHACHATOURIANS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Physician Assistant (License #PA64707 in CA)

🟢
Initial NPI Registration & Enumeration July 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174351050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2024
Last Update: August 27, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 8285

Northridge, CA 913278285

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.