Individual provider Active NPI

Marina Kuznetsova, LAC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1679918262
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7753 Issued in CA
Practice address
3440 Wilshire Blvd Ste 1207
Los Angeles, CA 90010-2127
Phone
(213) 480-3191
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7753 CA Primary

Addresses

Primary practice location

3440 Wilshire Blvd Ste 1207
Los Angeles, CA 90010-2127

Mailing address

125 N Gale Dr
Apt 401
Beverly Hills, CA 90211-2337
Phone (310) 999-3995

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
AC7753CAMDAcupuncturist

Interoperability endpoints

  • Direct secure messaging: marina.kuznetsova.p1@direct.ccchcenter.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1679918262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N GALE DR",
            "address_2": "APT 401",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112337",
            "telephone_number": "310-999-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 WILSHIRE BLVD STE 1207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102127",
            "telephone_number": "213-480-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNETSOVA",
        "first_name": "MARINA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7753",
            "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 Apr 22, 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.

Verify at the official NPI Registry.