Active NPI
Maryna Smolnikava
- Acupuncturist
- San Diego, CA
National Provider Identifier
1174245336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18260
- Practice address
- 3555 Kenyon St Ste 100
San Diego, CA 92110-5341 - Phone
- (808) 866-4720
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18260 | CA | Primary |
Addresses
Primary practice location
3555 Kenyon St Ste 100
San Diego, CA 92110-5341
Mailing address
4412 Pescadero Ave
San Diego, CA 92107-3629
Phone (808) 866-4720
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1174245336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 PESCADERO AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921073629",
"telephone_number": "808-866-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 KENYON ST STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105341",
"telephone_number": "808-866-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOLNIKAVA",
"first_name": "MARYNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.