Individual provider Active NPI

Brian Kalsbeek, D.C.

  • Chiropractor
  • Castro Valley, CA
National Provider Identifier
1053404095
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 11753 Issued in CA
Practice address
21168 Redwood Rd Ste 100
Castro Valley, CA 94546-5932
Phone
(510) 582-4880
Fax
(510) 582-5408
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 11753 CA Primary

Addresses

Primary practice location

21168 Redwood Rd Ste 100
Castro Valley, CA 94546-5932

Mailing address

21168 Redwood Rd Ste 100
Castro Valley, CA 94546-5932
Phone (510) 582-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 11753CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kalsbeek Chiropractic Inc Chiropractor CurrentSince Mar 16, 2009 Accepting new patients

Locations

21168 Redwood Rd
Ste 100
Castro Valley, CA 94546
Phone (510) 582-4880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1053404095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21168 REDWOOD RD STE 100",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465932",
            "telephone_number": "510-582-4880",
            "fax_number": "510-582-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21168 REDWOOD RD STE 100",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465932",
            "telephone_number": "510-582-4880",
            "fax_number": "510-582-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSBEEK",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 11753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.