ANNA BALIOUKOVA
NPI 1215363379
Nurse Practitioner - Family in Los Angeles, CA
About Anna Balioukova NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNA BALIOUKOVA (NPI 1215363379) is an individual family provider in Los Angeles, California, licensed in California (23634) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anna Balioukova is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Anna Balioukova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anna Balioukova's NPI number?
The NPI number for Anna Balioukova is 1215363379. It was assigned to this individual provider in the NPPES registry on September 20, 2013.
Where is Anna Balioukova located?
Anna Balioukova practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9111.
What is Anna Balioukova's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anna Balioukova enrolled in Medicare?
Yes. Anna Balioukova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Anna Balioukova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anna Balioukova reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Balioukova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anna Balioukova was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Anna Balioukova · NPI 1215363379
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 20, 2013.
## Identity
- **NPI:** 1215363379 (Entity type: Individual)
- **Enumerated:** September 20, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23634 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-1652
- **Phone:** (310) 825-9111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215363379) · Data from the CMS NPPES public registry.