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

Pavel Kostyshak, DC

Individual provider Chiropractor · NPI 1417781451

Pavel Kostyshak, DC is a Chiropractic in Petaluma, California. Graduated from Life Chiropractic College - West in 2024, 2 years ago. Licensed in California.

Years since qualifying
2
Trained at
Life Chiropractic College - West
Licensed in
CA
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

191 Lynch Creek Way #204
Petaluma, CA 94954
Phone: (707) 776-6445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC37071 (CA)

Record details

NPI number1417781451
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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