Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edwin Khachatourians, PA-C

Individual provider Medical Physician Assistant · NPI 1174351050

Edwin Khachatourians, PA-C is a Physician Assistant in Glendale, California. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2024, 2 years ago. Practices with Edward Samourjian Medical Corporation Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
CA
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1030 S Glendale Ave Ste 402
Glendale, CA 91205
Phone: (818) 230-6522
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64707 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA64707 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA64707 (CA)

Record details

NPI number1174351050
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 23, 2024
Last updated in NPPESAugust 27, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2024 (2 years in practice)
Group practice Edward Samourjian Medical Corporation Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale