Individual
ANNA NIKACHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1695 S SAN JACINTO AVE STE A-D&F, SAN JACINTO, CA 92583-5103
(951) 330-3100
(951) 350-1050
Mailing address
1695 S SAN JACINTO AVE STE A-D&F, SAN JACINTO, CA 92583-5103
(951) 330-3100
(951) 350-1050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A120159
CA
208100000X
Physical Medicine & Rehabilitation Physician
MD19174
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811284102
—
ME
01
—
FX956A
GROUP MEDICARE PTAN
CA
01
—
ZZZ29537Z
MEDICARE GROUP PTAN
CA
Enumeration date
07/07/2011
Last updated
03/04/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us