Individual provider Active NPI

Maria-Magdalena Nikolaeva Tchernogorova, DC

  • Chiropractor
  • West Hollywood, CA
National Provider Identifier
1013672385
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC35082 Issued in CA
Practice address
8472 Melrose PL
West Hollywood, CA 90069-5308
Phone
(702) 403-3607
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC35082 CA Primary

Addresses

Primary practice location

8472 Melrose PL
West Hollywood, CA 90069-5308

Mailing address

13914 Bora Bora Way Apt 122
Marina del Rey, CA 90292-6837
Phone (702) 403-3607

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL TheSpineSpot Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC35082CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1013672385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 BORA BORA WAY APT 122",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926837",
            "telephone_number": "702-403-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8472 MELROSE PL",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695308",
            "telephone_number": "702-403-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHERNOGOROVA",
        "first_name": "MARIA-MAGDALENA",
        "middle_name": "NIKOLAEVA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC35082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "TheSpineSpot",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8472 Melrose Pl",
            "city": "West Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900695308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.