Individual provider Active NPI

Maria Alexandrovna Rechkunova-Goodson, N.D.

  • Naturopath
  • Long Beach, CA
National Provider Identifier
1225589427
Registry record updated Oct 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND826 Issued in CA
Practice address
316 Redondo Ave
Long Beach, CA 90814-2651
Phone
(714) 924-5592
NPI assigned
Oct 23, 2016
Last updated
Oct 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND826 CA Primary

Addresses

Primary practice location

316 Redondo Ave
Long Beach, CA 90814-2651

Mailing address

17172 Bolsa Chica St
Apt 49
Huntington Beach, CA 92649-4478
Phone (714) 924-5592

Other names 1

  • Masha Alexandrovna Rechkunova Other name

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
ND826CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477180800000",
    "number": "1225589427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17172 BOLSA CHICA ST",
            "address_2": "APT 49",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494478",
            "telephone_number": "714-924-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142651",
            "telephone_number": "714-924-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHKUNOVA-GOODSON",
        "first_name": "MARIA",
        "middle_name": "ALEXANDROVNA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-23",
        "last_updated": "2016-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASHA",
            "last_name": "RECHKUNOVA",
            "middle_name": "ALEXANDROVNA",
            "credential": "N.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2016; 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.