Organization Active NPI

Bohemian Aesthetic Atelier

  • Other Specialist/Technologist
  • Sacramento, CA
National Provider Identifier
1982469730
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
BOHEMIAN AESTHETIC ATELIER
Practice address
106 L St Ste 1And5
Sacramento, CA 95814-3227
Phone
(916) 822-2646
Fax
(407) 650-2754
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Authorized official

Name
Warlita GreenNPI 1184482168
Title
Owner
Phone
(916) 822-2646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

106 L St Ste 1And5
Sacramento, CA 95814-3227

Mailing address

106 L St Ste 1And5
Sacramento, CA 95814-3227
Phone (916) 822-2646

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1982469730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 L ST STE 1AND5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143227",
            "telephone_number": "916-822-2646",
            "fax_number": "407-650-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 L ST STE 1AND5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143227",
            "telephone_number": "916-822-2646",
            "fax_number": "407-650-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHEMIAN AESTHETIC ATELIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WARLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-822-2646"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.