ANNA KOROGODSKI
NPI 1326634890
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Anna Korogodski's NPI number?

The NPI number for Anna Korogodski is 1326634890. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Q: What is Anna Korogodski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Anna Korogodski was last updated on December 13, 2022. 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.

Active since December 17, 2020PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2022, Dec 16, 2021, Dec 17, 2020 (3 updates tracked since 2020).

On this page

About Anna Korogodski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA KOROGODSKI (NPI 1326634890) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95019424) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326634890

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANNA KOROGODSKI

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 17, 2020

Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration

NPPES CertifiedDecember 13, 2022

✔ NPI 1326634890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95019424

200 W ARBOR DR, San Diego, CA 92103

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1350 Dickinson StSan Diego, CA 92103-1913 · Phone (619) 543-7795

Location 23020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 576-1700

Location 34305 University Ave Ste 150San Diego, CA 92105-1690 · Phone (858) 966-5484

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Korogodski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133514235

PECOS Enrollment IDI20220325001948

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)