Kathryn Rae Bastable, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36736 Issued in CA

Practice address

2006 Kala Bagai Way
Berkeley, CA 94704-1872

Phone

(530) 559-5378

NPI assigned

Dec 19, 2023

Reactivated

Oct 21, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Chan Chiropractic Inc

  dba Flow State Chiropractic & Wellness

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1598513145
  Medicare reassignment
• William James Ruch IV, D.C.

  • Chiropractor
  • Oakland, CA
  • NPI 1922028661
  Medicare reassignment
• Bastable Chiropractic

  • Chiropractor
  • Orinda, CA
  • NPI 1255148474
  Authorized official Same address or phone

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1093583973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55880",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945450880",
            "telephone_number": "530-559-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 KALA BAGAI WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041872",
            "telephone_number": "530-559-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTABLE",
        "first_name": "KATHRYN",
        "middle_name": "RAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "deactivation_date": "2024-09-20",
        "reactivation_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ceren Barut, MD
• Stephen A. Baskin, M.D.
• Aaron David Bass-Cetinich, PT
• Amanda Bassard, M.ED, BCBA
• Kelly Anne Bassin, LMFT
• Runa Basu, D.O.
• James P Bates
• Bath Chiropractic Inc.
• Jaskiran Kaur Bath
• Jennifer Bath

• Chiropractor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.