Provider Demographics
NPI:1588551675
Name:BASHKAR, ASHKON
Entity type:Individual
Prefix:
First Name:ASHKON
Middle Name:
Last Name:BASHKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15568 QUIET OAK DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4253
Mailing Address - Country:US
Mailing Address - Phone:909-680-8940
Mailing Address - Fax:
Practice Address - Street 1:611 W CIVIC CENTER DR STE 209
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4021
Practice Address - Country:US
Practice Address - Phone:714-257-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician