Individual
MARK JOSEPH SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-A
Contact information
Practice address
31 PANORAMIC WAY FL 1, WALNUT CREEK, CA 94595-1627
(925) 938-8686
Mailing address
31 PANORAMIC WAY FL 1, WALNUT CREEK, CA 94595-1627
(925) 938-8686
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU1138
CA
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171779400
DEPT. OF LABOR
—
01
—
AU0011380
UNITED HEALTHCARE
—
05
—
AU0011380
—
CA
01
—
HA0025060
BLUE SHIELD OF CA
CA
Enumeration date
11/28/2006
Last updated
11/24/2025
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