Provider Demographics
NPI:1144949421
Name:BAHENA, ERIKA LIVIER (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LIVIER
Last Name:BAHENA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10282 ROCK POINT WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-6539
Mailing Address - Country:US
Mailing Address - Phone:619-850-7723
Mailing Address - Fax:
Practice Address - Street 1:1510 S ESCONDIDO BLVD STE 104
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-6017
Practice Address - Country:US
Practice Address - Phone:760-566-3345
Practice Address - Fax:760-566-3347
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily