Katelyn Cresta, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC34191 Issued in CA

Practice address

536 El Camino Real
Redwood City, CA 94063-1212

Phone

(650) 853-1800

Fax

(650) 853-1801

NPI assigned

Apr 16, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1124515101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 OLIVER ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612135",
            "telephone_number": "650-454-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631212",
            "telephone_number": "650-853-1800",
            "fax_number": "650-853-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESTA",
        "first_name": "KATELYN",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela G. Cozzolino, DPT
• Gretchen Craford, P.T.
• Kathleen Mary Craig, OTR L
• Janet C Cran
• Lindsey Crane
• Crestwood Behavioral Health, Inc.
• Steven Dean Criss, MD
• Stephanie R Crockett, PSY.D.
• Lyndsay Cromwell
• Bradford Allan Crowell Jr., MD

• Chiropractor in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.