REZA BONABI MD, INC (NPI# 1366607988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366607988 |
| Entity Type | Organization |
| Organization Name | REZA BONABI MD, INC |
| Practice Address |
17075 Devonshire St Suite 301 Northridge CA 91325-1600 |
| Practice Telephone | 8183684212 |
| Practice Fax Number | 8183669351 |
| Mailing Telephone | 8183684212 |
| Mailing Fax Number | 8183669351 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | DR. NAGADEH GHOLAMREZA BONABI (PHYSICIAN) |
| Authorized Official Telephone | 8183684212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A46355 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A463550 | 05 |
| Street Address |
17075 DEVONSHIRE ST SUITE 301 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643815 | Joseph Kerendian | Ophthalmology | 17075 Devonshire St, Suite 307, Northridge, CA 91325-1600 | 2005-07-18 |
| 1538706551 | Parichehr Mohseniparsa | Pharmacist | 17075 Devonshire St, Northridge, CA 91325-1600 | 2019-12-09 |
| 1962971648 | Judith Guinhawa Nery | Nurse Practitioner | 17075 Devonshire St, Northridge, CA 91325-1600 | 2018-11-25 |
| 1588100168 | Kalpesh Patel, M.d.,inc | Internal Medicine | 17075 Devonshire St, Suite #303, Northridge, CA 91325-1600 | 2017-01-06 |
| 1356897573 | Sani and Eshaghian M.d., Inc. | Internal Medicine | 17075 Devonshire St, Suite #205, Northridge, CA 91325-1600 | 2016-08-28 |
| 1043657802 | Siamak Etehad Md Inc A Medical Corporation | Internal Medicine | 17075 Devonshire St, #100, Northridge, CA 91325-1600 | 2013-06-03 |
| 1265771877 | Specialty Healthcare Management Group, Inc | Internal Medicine | 17075 Devonshire St, #100, Northridge, CA 91325-1600 | 2013-02-04 |
| 1578835724 | Mehboob Makhani Md A Professional Corporation | Psychiatry & Neurology | 17075 Devonshire St, Suite 204, Northridge, CA 91325-1600 | 2012-02-03 |
| 1790087781 | Etehad and Josephson, M.d.'s Inc. | Specialist | 17075 Devonshire St, Suite 100, Northridge, CA 91325-1600 | 2010-11-23 |
| 1013219393 | Robert F. Robertson A Medical Corp. | Internal Medicine | 17075 Devonshire St, #205, Northridge, CA 91325-1600 | 2010-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426489 | Melinda Rachel Wilson | Specialist | 18618 Rayen St, Northridge, CA 91324-4030 | 2013-06-04 |
| 1699053397 | Donald Rex Simpson | Specialist | 17425 Parthenia St, Northridge, CA 91325-3240 | 2011-07-28 |
| 1568689966 | Valley Pulmonary Medical Group | Specialist | 18546 Roscoe Blvd Ste 308, Northridge, CA 91324-4669 | 2007-04-19 |
| 1720123458 | Alan Cohler | Specialist | 9731 Bothwell Rd, Northridge, CA 91311 | 2007-02-20 |
| 1811032923 | Adel F. Jabour, M.d Inc | Specialist | 18350 Roscoe Blvd Ste 200, Northridge, CA 91325-4147 | 2007-02-20 |
| 1528123346 | Gps Medical, Inc | Specialist | 17075 Devonshire St #201, Northridge, CA 91325-5407 | 2006-12-22 |
| 1629132535 | Cardiology Practice Medical Group | Specialist | 17075 Devonshire St Ste 201, Northridge, CA 91325-5407 | 2006-12-22 |
| 1063585164 | Samuel Leibovici | Specialist | 18250 Roscoe Blvd Ste 200, Northridge, CA 91325-4226 | 2006-11-16 |
| 1730251414 | David H Zimmer | Specialist | 18810 Kirkcolm Ln, Northridge, CA 91326-1142 | 2006-11-15 |
| 1144242645 | Richard Kenneth Gordon | Specialist | 8700 Reseda Blvd, Suite 204, Northridge, CA 91324-4041 | 2006-07-24 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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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.