GHOLAMREZA NAGADEH BONABI M.D. NPI 1154439743

NPI Information

  • NPI: 1154439743
  • Provider Name: GHOLAMREZA NAGADEH BONABI, M.D.,
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17075 DEVONSHIRE ST
    SUITE 300
    NORTHRIDGE, CA
    ZIP 91325
  • Phone: (818) 368-4212

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NPI Details

Gholamreza Nagadeh Bonabi, M.D., is a specialist in Northridge, CA with 49 years of experience. The provider is 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. Gholamreza Nagadeh Bonabi, M.D., NPI is 1154439743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17075 DEVONSHIRE ST
SUITE 300
NORTHRIDGE, CA
ZIP 91325-600
Phone: (818) 368-4212
Fax: (818) 366-9351

The NPI 1154439743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment (HCPCS:95250)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Photography of the retina (HCPCS:92250)

The enumeration date for this NPI number is 8/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA46355CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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