Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thaddeus J Potocki, DC

Individual provider Chiropractor · NPI 1154446417

Dr. Thaddeus J Potocki, DC is a Chiropractic in Fair Oaks, California. Graduated from Life Chiropractic College - West in 1989, 37 years ago. Licensed in California.

Years since qualifying
37
Trained at
Life Chiropractic College - West
Licensed in
CA
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

5150 Sunrise Blvd Ste F1
Fair Oaks, CA 95628-4939
Phone: (916) 536-0400
Fax: (916) 344-8523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC020349 (CA)

Record details

NPI number1154446417
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESOctober 30, 2008
Mailing address5150 Sunrise Blvd, Suite F1, Fair Oaks, CA 95628-4939

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated

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