Bahra and Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BAHRA AND ASSOCIATES

Practice address

15497 W Sand St
Victorville, CA 92392-2910

Phone

(442) 327-9311

Fax

(442) 327-9315

NPI assigned

May 17, 2019

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Bahra, LCSWNPI 1053887117

Title

LCSW/Owner

Phone

(714) 290-3009

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Bahra, LCSW

  • Clinical Social Worker
  • Victorville, CA
  • NPI 1053887117
  Authorized official Same address or phone

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1932765773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14390 PARK AVE",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922310",
            "telephone_number": "714-305-3500",
            "fax_number": "714-276-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15497 W SAND ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922910",
            "telephone_number": "442-327-9311",
            "fax_number": "442-327-9315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14390 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923922310",
            "country_code": "US",
            "telephone_number": "714-290-3009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8253 White Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307671",
            "country_code": "US",
            "telephone_number": "442-327-9311",
            "fax_number": "442-327-9315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAHRA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "BAHRA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "714-290-3009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizeth Babun
• Dina Badreldin
• Cynthia Elsa Bagaglia-Wood, CHW
• Krystle Bagby
• Sara Baghaei
• Eric Bahra, LCSW
• Debra Bailey
• Samantha Bailey
• Stacey Marie Bailey
• Whitney Bailey

• Clinical Social Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.