Anna Koblik Chen, MD

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

T9657 Issued in TX

Practice address

475 Washington Blvd
Marina del Rey, CA 90292-5287

Phone

(415) 379-0282

Fax

(310) 439-3701

NPI assigned

Apr 6, 2016

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Other names 1

• Dr. Anna Olegovna Koblik Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX, IN3 enrollments

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 3

Specialty

PsychiatryAlso: Neurology

Education

University of California, San Francisco School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restored Life Health NetworkGroup PAC ID 3173973336, 3 clinicians

Gamma Neuro Network IncGroup PAC ID 5294187290, 5 clinicians

Interpreting Physician Associates LLCGroup PAC ID 6305179854, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
• St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137
• Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: achen690346@hisp.ehr.sutterhealth.org
• Direct secure messaging: akoblik644237@direct.uclahealth.org
• FHIR API: https://api.platform.athenahealth.com/24703/brand/1/csg/1/fhir/r4

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

• Gamma Neuro Network Inc

  • Clinical Neurophysiology Physician
  • Marina del Rey, CA
  • NPI 1992413157

  TX

  Medicare reassignment Care Compare group NPD
• Interpreting Physician Associates LLC

  dba Advanced Monitoring Services

  • Electrodiagnostic Medicine Physician
  • Springdale, AR
  • NPI 1316487929

  TX

  Medicare reassignment Care Compare group NPD
• Restored Life Health Network

  • Multi-Specialty Clinic/Center
  • Kokomo, IN
  • NPI 1487430864
  Medicare reassignment Care Compare group NPD
• Hope Recovery Kokomo, LLC

  dba Wabash Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kokomo, IN
  • NPI 1710587910
  Medicare reassignment NPD
• Amb Eeg LLC

  • Physiological Laboratory
  • Colleyville, TX
  • NPI 1629584552
  NPD
• Hope Recovery Kokomo, LLC

  dba Wabash Recovery

  • Substance Abuse Rehabilitation Facility
  • Kokomo, IN
  • NPI 1457041774
  NPD
• The Neuron Clinic GP

  • Neurology Physician
  • Temecula, CA
  • NPI 1124582424
  NPD (past)
• Advanced Monitoring Services LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Springdale, AR
  • NPI 1093854473
  NPD (past)
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Neurolinks, LLC

  • Physiological Laboratory
  • Tulsa, OK
  • NPI 1003834474
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• Fort Worth Surgicare Partners LTD

  dba Baylor Surgical Hospital at Fort Worth Outpatient Center

  • Special Hospital
  • Fort Worth, TX
  • NPI 1568883775
  Care Compare affiliation
• Fort Worth Surgicare Partners, LTD.

  dba Baylor Scott & White Surgical Hospital - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871599183
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation
• St. Vincent Infirmary Medical Center

  dba St. Vincent Medical Center - North

  • General Acute Care Hospital
  • Sherwood, AR
  • NPI 1629011002
  Care Compare affiliation

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1972967982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 FM 1431",
            "address_2": "STE 104 #1015",
            "city": "JONESTOWN",
            "state": "TX",
            "postal_code": "786453222",
            "telephone_number": "415-379-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925287",
            "telephone_number": "415-379-0282",
            "fax_number": "310-439-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Adriatic Pkwy Apt 1117",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750721554",
            "country_code": "US",
            "telephone_number": "415-379-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANNA",
        "middle_name": "KOBLIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01091921A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A153270",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "326799",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "KS",
            "license": "04-46798",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AR",
            "license": "E-15800",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OK",
            "license": "39883",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A153270",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MO",
            "license": "2022039895",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "T9657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KOBLIK",
            "middle_name": "OLEGOVNA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Chang, M.D.
• Kevin Wesley Chang
• Charles W Crook Psychologist Inc
• Jasmine Charles
• Arti H Chawla, M.D.
• Leian Chen, MD
• Tina San Cheng, O.D.
• Melissa Donfeld Cherry
• Missy Queenesther Childs
• Chiroasis a Connolly Chiropractic Corporation

• Clinical Neurophysiology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.

Verify at the official NPI Registry.