Active NPI
Alister Bohegian
- Student in an Organized Health Care Education/Training Program
- Auburn, CA
National Provider Identifier
1669062022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey House | Past | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Nevada City, CA
- NPI 1558586214
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.