Individual provider Active NPI

Rebecca Kasputis, DC

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1134905953
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36750 Issued in CA
Practice address
1280 Boulevard Way Ste 211
Walnut Creek, CA 94595-1102
Phone
(714) 724-5584
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36750 CA Primary

Addresses

Primary practice location

1280 Boulevard Way Ste 211
Walnut Creek, CA 94595-1102

Mailing address

1280 Boulevard Way Ste 211
Walnut Creek, CA 94595-1102
Phone (714) 724-5584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013002425 CA Practitioner - Chiropractic 8123515327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3467 Golden Gate Way
Lafayette, CA 94549-4418
Phone (925) 276-2792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36750CAMDChiropractor
36750CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kasputis Chiropractic Corporation Chiropractor CurrentSince Sep 2, 2025 Accepting new patients

Locations

3467 Golden Gate Way
Lafayette, CA 94549
Phone (510) 734-8456

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1134905953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 BOULEVARD WAY STE 211",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951102",
            "telephone_number": "714-724-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 BOULEVARD WAY STE 211",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951102",
            "telephone_number": "714-724-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPUTIS",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.