Individual provider Active NPI

Marina Nikiforova, D.C.

  • Chiropractor
  • Playa Vista, CA
National Provider Identifier
1285168955
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 33831 Issued in CA
Practice address
5450 Lincoln Blvd
Playa Vista, CA 90094-2002
Phone
(310) 305-9200
Fax
(310) 305-2800
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 33831 CA Primary

Addresses

Primary practice location

5450 Lincoln Blvd
Playa Vista, CA 90094-2002

Mailing address

3448 Sawtelle Blvd Apt 14
Los Angeles, CA 90066-2133
Phone (310) 266-4457

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33831CAMDClinical Psychologist
DC 33831CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1285168955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 SAWTELLE BLVD APT 14",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662133",
            "telephone_number": "310-266-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 LINCOLN BLVD",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942002",
            "telephone_number": "310-305-9200",
            "fax_number": "310-305-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKIFOROVA",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 33831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.