Individual provider Active NPI

Alister Bohegian

  • Student in an Organized Health Care Education/Training Program
  • Auburn, CA
National Provider Identifier
1669062022
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
11990 Heritage Oak PL Ste 4B
Auburn, CA 95603-2405
Phone
(530) 499-8859
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Primary
Community Health Worker 172V00000X
Adult Companion 372600000X
Behavior Technician 106S00000X

Addresses

Primary practice location

11990 Heritage Oak PL Ste 4B
Auburn, CA 95603-2405

Mailing address

110 Gateway Dr Ste 210
Lincoln, CA 95648-3306
Phone (916) 645-3300

Other practice location 1

500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561
Phone (530) 265-5811

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.bullis@co.nevada.ca.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1669062022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GATEWAY DR STE 210",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483306",
            "telephone_number": "916-645-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 HERITAGE OAK PL STE 4B",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032405",
            "telephone_number": "530-499-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Crown Point Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959459561",
            "country_code": "US",
            "telephone_number": "530-265-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHEGIAN",
        "first_name": "ALISTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.bullis@co.nevada.ca.us",
            "affiliation": "N",
            "address_1": "995 Helling Way",
            "city": "Nevada City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959598619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.