Active NPI
John William Bokanovich, LAADC-CA, CADC-II
- Addiction (Substance Use Disorder) Counselor
- Salinas, CA
National Provider Identifier
1932401957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCI04420915
- Practice address
- 128 E Alisal St
Salinas, CA 93901-3519 - Phone
- (831) 753-5150
- Fax
- (831) 759-2269
- NPI assigned
- Nov 23, 2010
- Last updated
- Aug 2, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCI04420915 | CA | Primary |
Addresses
Primary practice location
128 E Alisal St
Salinas, CA 93901-3519
Mailing address
128 E Alisal St
Salinas, CA 93901-3519
Phone (831) 753-5150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jbokanovich@sunstreet.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCI04420915 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Street Centers | Past | Accepting new patients | |
| Valley Health Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Salinas, CA
- NPI 1659413151
-
- Community/Behavioral Health Agency
- Salinas, CA
- NPI 1669513578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1932401957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E ALISAL ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013519",
"telephone_number": "831-753-5150",
"fax_number": "831-759-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E ALISAL ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013519",
"telephone_number": "831-753-5150",
"fax_number": "831-759-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKANOVICH",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "LAADC-CA, CADC-II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-23",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LCI04420915",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jbokanovich@sunstreet.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "128 E Alisal St",
"city": "Salinas",
"state": "CA",
"country_code": "US",
"postal_code": "939013519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.