Healthcare Provider Details

I. General information

NPI: 1558289686
Provider Name (Legal Business Name): KIRSTIN R OAXACA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 ALHAMBRA BLVD STE 210
SACRAMENTO CA
95816-4487
US

IV. Provider business mailing address

2871 59TH ST
SACRAMENTO CA
95817-1751
US

V. Phone/Fax

Practice location:
  • Phone: 916-225-9171
  • Fax:
Mailing address:
  • Phone: 916-402-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: