Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Rae Bastable, DC

Individual provider Chiropractor · NPI 1093583973

Kathryn Rae Bastable, DC is a Chiropractic in Berkeley, California. Graduated from Life Chiropractic College - West in 2023, 3 years ago. Licensed in California.

Years since qualifying
3
Trained at
Life Chiropractic College - West
Licensed in
CA
In the registry since
2023
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2006 Kala Bagai Way
Berkeley, CA 94704-1872
Phone: (530) 559-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 36736 (CA)

Record details

NPI number1093583973
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 19, 2023
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing addressPo Box 55880, Hayward, CA 94545-0880

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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