Active NPI
Anna Nikachina, MD, PHD
- Physical Medicine & Rehabilitation Physician
- San Jacinto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A120159
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FX956A | Other | CA | GROUP MEDICARE PTAN |
| 1811284102 | Medicaid | ME | |
| ZZZ29537Z | Other | CA | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120159 | CA | MD | Physical Medicine & Rehabilitation Physician |
| MD19174 | ME | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moeller-Bertram Medical Corporation | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Current | 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.
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
- Pain Medicine Physician
- Rancho Mirage, CA
- NPI 1699586388
-
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Durable Medical Equipment & Medical Supplies
- Indio, CA
- NPI 1861389199
-
- Pain Medicine (Anesthesiology) Physician
- Rancho Mirage, CA
- NPI 1922440684
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1225239304
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.