Rebecca R. Nystrom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC15649 Issued in CA

Practice address

712 D St
Suite E
San Rafael, CA 94901-3709

Phone

(415) 459-1218

Fax

(415) 258-2894

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1992800213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 D ST",
            "address_2": "SUITE E",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013709",
            "telephone_number": "415-459-1218",
            "fax_number": "415-258-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 D ST",
            "address_2": "SUITE E",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013709",
            "telephone_number": "415-459-1218",
            "fax_number": "415-258-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYSTROM",
        "first_name": "REBECCA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Nowak, MS, CCC/SLP
• NP Plus, LLC
• Debra Nunes
• Lupe Marquez Nunez, LCSW
• Marcella Angela Nutting
• Kelsey Theresa O'Brien
• O'Byrne & Associates
• Matthew O'Byrne, PH.D.
• Robynne O'Byrne, PH.D.
• Leslie Ann O'Connell, PH.D.

• Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.