Healthcare Provider Details

I. General information

NPI: 1215876925
Provider Name (Legal Business Name): BHAVNA BAVEJA GOEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4361 RAILROAD AVE
PLEASANTON CA
94566-6611
US

IV. Provider business mailing address

4682 CHABOT DR UNIT 12061
PLEASANTON CA
94588-6180
US

V. Phone/Fax

Practice location:
  • Phone: 925-249-3165
  • Fax:
Mailing address:
  • Phone: 925-462-1755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberA146871
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: