Active NPI
Bao Her, PHD
- Psychologist
- Coalinga, CA
National Provider Identifier
1134602865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY35610
- Practice address
- 24511 W Jayne Ave
Coalinga, CA 93210-9503 - Phone
- (559) 934-8212
- NPI assigned
- Sep 9, 2018
- Last updated
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY35610 | CA | Primary |
Addresses
Primary practice location
24511 W Jayne Ave
Coalinga, CA 93210-9503
Mailing address
8260 Longleaf Dr BLDG C
Elk Grove, CA 95758-1322
Other practice location 1
8260 Longleaf Dr Bldg C
Elk Grove, CA 95758-1322
Phone (559) 934-8212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35610 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients |
Locations
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coalinga State Hospital
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
dba Department of State Hospitals-Atascadero
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1134602865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8260 LONGLEAF DR BLDG C",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24511 W JAYNE AVE",
"city": "COALINGA",
"state": "CA",
"postal_code": "932109503",
"telephone_number": "559-934-8212"
}
],
"practiceLocations": [
{
"address_1": "8260 Longleaf Dr Bldg C",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "957581322",
"country_code": "US",
"telephone_number": "559-934-8212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HER",
"first_name": "BAO",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-09",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY35610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.