Active NPI
Robert Lee Bohanna, A.S.
- School Counselor
- Fresno, CA
National Provider Identifier
1831488964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 4705 N Sonora Ave
Suite 113
Fresno, CA 93722-3966 - Phone
- (559) 276-7558
- Fax
- (559) 276-7568
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | Primary |
Addresses
Primary practice location
4705 N Sonora Ave
Suite 113
Fresno, CA 93722-3966
Mailing address
4705 N Sonora Ave
Suite 113
Fresno, CA 93722-3966
Phone (559) 276-7558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6273384 | Other | CA | DRIVER LICENSE |
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
- Credentials
- Associate of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1831488964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 N SONORA AVE",
"address_2": "SUITE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937223966",
"telephone_number": "559-276-7558",
"fax_number": "559-276-7568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 N SONORA AVE",
"address_2": "SUITE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937223966",
"telephone_number": "559-276-7558",
"fax_number": "559-276-7568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHANNA",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "A.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "C6273384",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.