Provider Demographics
NPI:1891852067
Name:BAKMAN, THOMAS STANLEY (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:STANLEY
Last Name:BAKMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:NONE
Other - Middle Name:NONE
Other - Last Name:NONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:114 PACIFICA STE 130
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3316
Mailing Address - Country:US
Mailing Address - Phone:949-257-2644
Mailing Address - Fax:888-355-7731
Practice Address - Street 1:114 PACIFICA STE 130
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3316
Practice Address - Country:US
Practice Address - Phone:949-257-2644
Practice Address - Fax:888-355-7731
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19041111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA47-1674398OtherTAX ID
CA33-4243090OtherTAX ID