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Pavel Kostyshak, DC
NPI 1417781451 · Chiropractor · Petaluma, CA
Pavel Kostyshak, DC is a Chiropractor provider in Petaluma, CA (NPI 1417781451).
Provider details
- NPI number
- 1417781451
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- DC37071 (CA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
191 Lynch Creek Way
#204
Petaluma, CA 94954
Phone: (707) 776-6445
Street-level locationGet directions
Mailing address
25190 Cypress Ave Apt 211
Hayward, CA 94544-2216
Registry dates
- Enumerated
- 2024-08-30
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Frequently asked questions
- What is Pavel Kostyshak's NPI number?
- Pavel Kostyshak's National Provider Identifier (NPI) is 1417781451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pavel Kostyshak's specialty?
- Pavel Kostyshak is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Pavel Kostyshak located?
- Pavel Kostyshak's practice location on file with NPPES is 191 Lynch Creek Way, Petaluma, CA 94954.
- What is Pavel Kostyshak's phone number?
- The practice phone number listed in the NPPES registry for Pavel Kostyshak is (707) 776-6445.
- Is Pavel Kostyshak's NPI active?
- Yes — Pavel Kostyshak's NPI (1417781451) is active in the NPPES registry as of the last update on 2024-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.