MR. ROBERT LEE BOHANNA (NPI# 1831488964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831488964 |
| Entity Type | Individual |
| Full Name | MR. ROBERT LEE BOHANNA |
| Credential | A.S. |
| Practice Address |
4705 N Sonora Ave Suite 113 Fresno CA 93722-3966 |
| Practice Telephone | 5592767558 |
| Practice Fax Number | 5592767568 |
| Mailing Telephone | 5592767558 |
| Mailing Fax Number | 5592767568 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER LICENSE | C6273384 | 01 |
| Street Address |
4705 N SONORA AVE SUITE 113 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-3966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629255609 | Mark Blanton | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2008-01-22 |
| 1538609961 | Healthy Life Home Services, Inc | Home Health | 4705 N Sonora Ave, Suite 106, Fresno, CA 93722-3966 | 2017-03-04 |
| 1396175626 | Jeanette Jackson | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-22 |
| 1922438480 | Tafailagi Yandall | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-20 |
| 1851640247 | Jeremiah Brubaker | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2012-08-31 |
| 1851679260 | Minerva Minnie Mijangos | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-08-02 |
| 1841580578 | Yolanda Theresa Bowen | Contractor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-04-14 |
| 1861796062 | Maria Angelica Galvan | Interpreter | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-01-03 |
| 1508181413 | Carina Gonzolez Espitia | Community Health Worker | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2010-04-02 |
| 1467782102 | Delta Care Inc | Community/Behavioral Health | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2009-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942509559 | Mark Allen | Counselor | 1384 W Ellery Way, Fresno, CA 93711-2014 | 2011-03-22 |
| 1649898263 | Megan Elise Simpson | Counselor | 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774708 | High Tech High | Counselor | 2861 Womble Rd, San Diego, CA 92106-6025 | 2020-09-14 |
| 1275146979 | Ki Morgan Spurr-gaines | Counselor | 115 1st Ave, Daly City, CA 94014-2643 | 2020-08-24 |
| 1649810029 | Kathleen Patrice Gulley | Counselor | 8413 Honeycomb Way, Sacramento, CA 95828-6660 | 2020-01-13 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1720551328 | Nicole Marie Beilstein | Counselor | 1115 E Hoffer St, Banning, CA 92220-2723 | 2019-01-07 |
| 1043788136 | Kellye D Mckinna | Counselor | 28990 Pacific Coast Hwy Ste 217, Malibu, CA 90265-3944 | 2018-11-06 |
| 1477038677 | Oscar Soltero | Counselor | 717 S Oak Knoll Ave, Pasadena, CA 91106-3809 | 2018-10-03 |
| 1649754953 | Kate Sullivan | Counselor | 1440 E Broadway, Glendale, CA 91205-1503 | 2018-09-21 |
| 1548748064 | Jessica H Yang | Counselor | 4931 Caspar St, Union City, CA 94587-5533 | 2018-08-06 |
| 1811475742 | Michelle Tehrani Hartounian | Counselor | 460 Oak St Apt 317, Glendale, CA 91204-1268 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.