Healthcare Provider Details

I. General information

NPI: 1891852067
Provider Name (Legal Business Name): THOMAS STANLEY BAKMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NONE NONE NONE D.C.

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 PACIFICA STE 130
IRVINE CA
92618-3316
US

IV. Provider business mailing address

114 PACIFICA STE 130
IRVINE CA
92618-3316
US

V. Phone/Fax

Practice location:
  • Phone: 949-257-2644
  • Fax: 888-355-7731
Mailing address:
  • Phone: 949-257-2644
  • Fax: 888-355-7731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number19041
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: