DAVID C BONOVICH MD


Address: 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305
Phone: 5035795000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
G71726 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 7587738 05

Office Location

Street Address 20103 LAKE CHABOT RD
City CASTRO VALLEY
State CA
Zip Code 94546-5305

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084V0102X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Vascular Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City CASTRO VALLEY
Zip Code 94546

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Dataset Information

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.

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