Martin Luke Sanford, D.C.
Chiropractor in Portola, CA. Individual provider (NPI-1).
NPI number1386776367
StatusActive
Last updated in NPPESJan 21, 2011
Details
- NPI
- 1386776367
- Entity type
- Individual (NPI-1)
- Name
- Martin Luke Sanford
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- Jan 21, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 31697 | CA | Yes |
| 111N00000X | Chiropractor | B01037 | NV |
Practice location
15 Commercial StPortola, CA 96122-9617
Phone 530-832-4442
Mailing address
15 Commercial StPortola, CA 96122-9617
Phone 530-832-4442
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