Dr. Kathryn Rae Bastable , DC
Chiropractor • Berkeley, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kathryn Bastable has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kathryn Bastable, DC was a registered Chiropractor in Berkeley, CA. Prior to record deactivation on 2024-09-20, Dr. Bastable completed approximately 1 years of clinical practice following graduation from Life Chiropractic College - West in 2023.
Dr. Bastable did not directly accept Medicare assignment.
Practice Location & Contact Primary Location
2006 Kala Bagai Way
Berkeley, CA 947041872
Medicare Profile & Education
Life Chiropractic College - West
2023
Not Specified
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Berkeley, CA
Practicing in Berkeley, CA (12100 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2024-12-17NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2006 KALA BAGAI WAY, BERKELEY, CA 947041872 (Tel: 5305595378)
Registered at PO BOX 55880, HAYWARD, CA 945450880 (Tel: 5305594378)
Recorded as KATHRYN BASTABLE, DC
Chiropractor (License #36736 in CA)
Record deactivated on September 20, 2024
NPI status registered as active in NPPES database
Registered at 2851 PARK MARINA DR STE 100, REDDING, CA 960012800 (Tel: 5302450402)
Registered at 2851 PARK MARINA DR STE 100, REDDING, CA 960012800 (Tel: 5302450402)
Recorded as KATHRYN BASTABLE, DC
Chiropractor (License #36736 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 55880
Hayward, CA 945450880
Phone: 5305594378
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