Healthcare Provider Details

I. General information

NPI: 1467570804
Provider Name (Legal Business Name): WILLIAM STUART TATSUNO D.C. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 TRUXTON AVENUE
BAKERSFIELD CA
93309-0606
US

IV. Provider business mailing address

3900 TRUXTON AVENUE BAKERSFIELD CA 93309-0606
BAKERSFIELD CA
93309-0606
US

V. Phone/Fax

Practice location:
  • Phone: 661-995-1909
  • Fax: 661-322-9313
Mailing address:
  • Phone: 661-995-1909
  • Fax: 661-322-9313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number17513
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberD.C0175130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: