Individual provider Active NPI

Anna Nikachina, MD, PHD

  • Physical Medicine & Rehabilitation Physician
  • San Jacinto, CA
National Provider Identifier
1811284102
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A120159 Issued in CA
Practice address
1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103
Phone
(951) 330-3100
Fax
(951) 350-1050
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD19174 ME
Physical Medicine & Rehabilitation Physician 208100000X A120159 CA Primary

Addresses

Primary practice location

1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103

Mailing address

1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103
Phone (951) 330-3100

Other identifiers 3

IdentifierTypeStateIssuer
FX956AOtherCAGROUP MEDICARE PTAN
1811284102MedicaidME
ZZZ29537ZOtherCAMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219001149 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1850548900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Bernardino Medical Orthopaedic Group IncGroup PAC ID 9335045228, 92 clinicians

Practice addresses (Care Compare)

1901 W Lugonia Ave
Suite 120 130
Redlands, CA 92374-9703
Phone (909) 557-1600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A120159CAMDPhysical Medicine & Rehabilitation Physician
MD19174MEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moeller-Bertram Medical Corporation CurrentSince May 1, 2025 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Jan 1, 2017 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Mar 15, 2024 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Mar 15, 2024 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1011 E Devonshire Ave
Ste 203
Hemet, CA 92543
Phone (714) 848-1133

3889 W Stetson Ave
Ste 100
Hemet, CA 92545
Phone (951) 652-1600

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

1133 N Palm Canyon Dr
Ste A
Palm Springs, CA 92262
Phone (760) 320-2200

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8805 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 912-1750

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

1901 W Lugonia Ave
Ste 230
Redlands, CA 92374
Phone (909) 557-1607

1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1901 W Lugonia Ave
Ste 130
Redlands, CA 92374
Phone (909) 381-1644

1901 W Lugonia Ave
Ste 100
Redlands, CA 92374
Phone (909) 557-1700

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

7065 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 476-0115

1695 S San Jacinto Ave
Ste Adf
San Jacinto, CA 92583
Phone (951) 330-3100

1695 S San Jacinto Ave
Ste Aj
San Jacinto, CA 92583
Phone (951) 330-3100

1695 S San Jacinto Ave
Ste A
San Jacinto, CA 92583
Phone (951) 330-3100

15095 Amargosa Rd
Ste 104
Victorville, CA 92394
Phone (760) 245-3769

15095 Amargosa Rd
Ste 106
Victorville, CA 92394
Phone (760) 245-6495

12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1811284102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKACHINA",
        "first_name": "ANNA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "MD19174",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A120159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "FX956A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811284102",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ29537Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.