Healthcare Provider Details

I. General information

NPI: 1801619796
Provider Name (Legal Business Name): VALERIYA BAUER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 CALIFORNIA ST FL 12
SAN FRANCISCO CA
94104-1033
US

IV. Provider business mailing address

1014 S WESTLAKE BLVD # 14-341
WESTLAKE VILLAGE CA
91361-3108
US

V. Phone/Fax

Practice location:
  • Phone: 415-992-6155
  • Fax:
Mailing address:
  • Phone: 714-576-6307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157468
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14037
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number139883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: