Individual provider Active NPI

Marc Todd Sakoda, D.C.

  • Chiropractor
  • Wildomar, CA
National Provider Identifier
1093886350
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26808 Issued in CA
Practice address
32395 Clinton Keith Rd
Suite 104
Wildomar, CA 92595-8508
Phone
(951) 678-9063
Fax
(951) 678-2893
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26808 CA Primary

Addresses

Primary practice location

32395 Clinton Keith Rd
Suite 104
Wildomar, CA 92595-8508

Mailing address

32395 Clinton Keith Rd
Suite 104
Wildomar, CA 92595-8508
Phone (951) 678-9063

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
DC26808CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093886350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32395 CLINTON KEITH RD",
            "address_2": "SUITE 104",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958508",
            "telephone_number": "951-678-9063",
            "fax_number": "951-678-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32395 CLINTON KEITH RD",
            "address_2": "SUITE 104",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958508",
            "telephone_number": "951-678-9063",
            "fax_number": "951-678-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKODA",
        "first_name": "MARC",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.