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ANASTASIA KHADJINOVA MD
NPI 1396323952
Internal Medicine in San Diego, CA

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
4505 LA JOLLA VILLAGE DR STE C5, SAN DIEGO, CA 92122(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Aug 1, 2024, Apr 1, 2021 (3 updates tracked since 2021).

About Anastasia Khadjinova Md NPPES

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

ANASTASIA KHADJINOVA MD (NPI 1396323952) is an individual internal medicine provider in San Diego, California, licensed in California (A194007) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1396323952
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANASTASIA KHADJINOVACredential: MD
Location Address4505 LA JOLLA VILLAGE DR STE C5San Diego, CA 92122-1214
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1396323952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A194007
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4505 LA JOLLA VILLAGE DR STE C5, San Diego, CA 92122
Open in Google Maps ↗

Other Identifiers 1

Other1771663WA · Student Id Number

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

Anastasia Khadjinova Md 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.

PECOS PAC ID6901341627
PECOS Enrollment IDI20240717001878
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.

Medicare Billing Reassignment

Medicare enrollment records show Anastasia Khadjinova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

One Medical Group, Inc
11 mi
Family Medicine
1230 COLUMBIA ST STE 100
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 291 clinicians in this Medicare group
NPI 1801666904 (619) 232-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR DAWSON PA-C
Physician Assistant
4505 LA JOLLA VILLAGE DR STE C5
SAN DIEGO, CA 92122
San Diego County (888) 663-6331
HANNAH HARTIN PA
Physician Assistant
4505 LA JOLLA VILLAGE DR STE C5
SAN DIEGO, CA 92122
San Diego County (888) 663-6331

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 Anastasia Khadjinova's NPI number?

The NPI number for Anastasia Khadjinova is 1396323952. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Anastasia Khadjinova located?

Anastasia Khadjinova practices at 4505 La Jolla Village Dr Ste C5, San Diego, CA 92122. The listed phone number is (888) 663-6331.

What is Anastasia Khadjinova's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anastasia Khadjinova enrolled in Medicare?

Yes. Anastasia Khadjinova 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 Anastasia Khadjinova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anastasia Khadjinova reassigns Medicare benefits to One Medical Group, Inc (San Diego, 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 Anastasia Khadjinova'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 Anastasia Khadjinova was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.