Healthcare Provider Details

I. General information

NPI: 1801727557
Provider Name (Legal Business Name): BATH CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530A 5TH ST
BERKELEY CA
94710-1713
US

IV. Provider business mailing address

1530A 5TH ST
BERKELEY CA
94710-1713
US

V. Phone/Fax

Practice location:
  • Phone: 510-725-1179
  • Fax:
Mailing address:
  • Phone: 510-725-1179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JASKIRAN KAUR BATH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DC
Phone: 559-930-4207