Healthcare Provider Details

I. General information

NPI: 1225950033
Provider Name (Legal Business Name): BARBA BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 HAVEN AVE STE 100
RANCHO CUCAMONGA CA
91730-8551
US

IV. Provider business mailing address

9220 HAVEN AVE STE 100
RANCHO CUCAMONGA CA
91730-8551
US

V. Phone/Fax

Practice location:
  • Phone: 323-898-6259
  • Fax:
Mailing address:
  • Phone: 323-898-6259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NATHAN BARBA
Title or Position: CEO
Credential: NP
Phone: 323-898-6259