Individual provider Active NPI

Sonia Angelica Bahro, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1750418042
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22039 Issued in CA
Practice address
480 Alta Rd
San Diego, CA 92179-0001
Phone
(619) 370-2917
NPI assigned
Feb 27, 2007
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22039 CA Primary

Addresses

Primary practice location

480 Alta Rd
San Diego, CA 92179-0001

Mailing address

480 Alta Rd
San Diego, CA 92179-0001
Phone (619) 370-2917

Other practice location 1

446 Alta Rd Ste 6100
San Diego, CA 92158-0001
Phone (619) 671-6535

Other practice location 2

8351 Broadway
Lemon Grove, CA 91945-2009
Phone (619) 722-0014

Other practice location 3

8787 Center Dr
LA Mesa, CA 91942-3034
Phone (619) 722-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923003222 CA Practitioner - Clinical Psychologist 8325378029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Psychology Services PCGroup PAC ID 6204155187, 19 clinicians

Practice addresses (Care Compare)

3034 E Herndon Ave
Fresno, CA 93720-0300
Phone (559) 321-0883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY22039CAMDClinical Psychologist

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1750418042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ALTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921790001",
            "telephone_number": "619-370-2917",
            "fax_number": "619-671-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ALTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921790001",
            "telephone_number": "619-370-2917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Alta Rd Ste 6100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921580001",
            "country_code": "US",
            "telephone_number": "619-671-6535",
            "fax_number": "619-671-6538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8351 Broadway",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919452009",
            "country_code": "US",
            "telephone_number": "619-722-0014",
            "fax_number": "619-327-4174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8787 Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423034",
            "country_code": "US",
            "telephone_number": "619-722-0014",
            "fax_number": "691-327-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHRO",
        "first_name": "SONIA",
        "middle_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.