DAVID C BONOVICH MD (NPI# 1508374489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508374489 |
Entity Type | Organization |
Organization Name | DAVID C BONOVICH MD |
Practice Address |
20103 Lake Chabot Rd Castro Valley CA 94546-5305 |
Mailing Address |
14780 Sw Osprey Dr Ste 325 Beaverton OR 97007-8069 |
Practice Telephone | 5035795000 |
Practice Fax Number | 5035795001 |
Mailing Telephone | 5035795000 |
Mailing Fax Number | 5035795001 |
Enumeration Date | 2018-01-13 |
Last Update Date | 2018-10-08 |
Authorized Official Name | LEANE WADSWORTH (OFFICE MANAGER) |
Authorized Official Telephone | 5035795000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
G71726 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 7587738 | 05 |
Street Address |
20103 LAKE CHABOT RD |
City | CASTRO VALLEY |
State | CA |
Zip Code | 94546-5305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122179 | Eden Medical Center | General Acute Care Hospital | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-05-23 |
1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
1417568916 | Michael A Esparza Md Inc | Surgery | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-08-10 |
1417596289 | Linda Ann Scott-hickman | Pharmacist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2019-12-27 |
1821598418 | Alyan Ali, M.d., Inc. | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2018-02-20 |
1922511278 | Lisa Gaye Quan | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-11-08 |
1114439593 | David Paul Rathmann | Speech-Language Pathologist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-10-25 |
1205378668 | Jacqueline Margolese | Nurse Practitioner | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2016-11-15 |
1386098309 | Travis Sunlum Lee | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-04-15 |
1124480157 | Faruqa Shariff Ladha | Pediatrics | 20103 Lake Chabot Rd, Eden Medical Center, Castro Valley, CA 94546-5305 | 2016-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
Find all providers in zip 94546 |
Taxonomy Code | 2084V0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Vascular Neurology |
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790292100 | Anna Barminova | Psychiatry & Neurology | 200 W Arbor Dr Ste 3, San Diego, CA 92103-1911 | 2018-01-08 |
1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
1174925697 | Spine and Neurosurgical Trauma Associates of Northern California | Psychiatry & Neurology | 4690 Hoen Ave, Santa Rosa, CA 95405-7823 | 2014-09-17 |
1215255906 | Endovascular Neurosurgery, Inc | Psychiatry & Neurology | 9867 Saskatchewan Ave, San Diego, CA 92129-3506 | 2010-05-05 |
1528297009 | Wled Wazni | Psychiatry & Neurology | 1050 Linden Ave Fl 2, Long Beach, CA 90813-3321 | 2009-07-06 |
1295909554 | Royya Fatima Modir | Psychiatry & Neurology | 200 W Arbor Dr # 8466, Mon 3rd Fl, Suite 3, San Diego, CA 92103 | 2008-04-17 |
1740219468 | Neuron Diagnostic Services, Inc. | Psychiatry & Neurology | 1127 Wilshire Blvd Ste 1416, Los Angeles, CA 90017-4005 | 2006-07-03 |
1962449538 | Peter C Fung | Psychiatry & Neurology | 1208 E Arques Ave, Suite 113, Sunnyvale, CA 94085-5418 | 2006-06-01 |
1972022598 | Catherine Legault | Psychiatry & Neurology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2017-09-14 |
1861925182 | Artin Minaeian Md Inc | Psychiatry & Neurology | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206-4056 | 2017-04-04 |
Find all providers with the same taxonomy |
City | CASTRO VALLEY |
Zip Code | 94546 |
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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.