NPIMap

Individual provider Active NPI

Irina Nikonova, L.AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1437401064
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14788 Issued in CA
Practice address
5910 Monterey Rd
Los Angeles, CA 90042-4943
Phone
(323) 551-5962
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14788 CA Primary

Addresses

Primary practice location

5910 Monterey Rd
Los Angeles, CA 90042-4943

Mailing address

5910 Monterey Rd
Los Angeles, CA 90042-4943
Phone (323) 551-5962

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
AC14788CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Herbalroom Acupuncturist Past Accepting new patients
Lotus Center for Integrative Medicine Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1437401064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424943",
            "telephone_number": "323-551-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424943",
            "telephone_number": "323-551-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKONOVA",
        "first_name": "IRINA",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.