Active NPI
Norman Sakow
- Chiropractor
- San Diego, CA
National Provider Identifier
1679873830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC12814
- Practice address
- 4505 Park Blvd
San Diego, CA 92116-2644 - Phone
- (619) 297-4664
- NPI assigned
- Oct 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC12814 | CA | Primary |
Addresses
Primary practice location
4505 Park Blvd
San Diego, CA 92116-2644
Mailing address
15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC12814 | Other | CA | CHIROPRACTIC LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC12814 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1679873830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD",
"address_2": "B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182720",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 PARK BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921162644",
"telephone_number": "619-297-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKOW",
"first_name": "NORMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC12814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC12814",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.