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GHOLAMREZA NAGADEH BONABI M.D. NPI 1154439743


NPI Profile

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
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Phone: (818) 368-4212

Gholamreza Nagadeh Bonabi, M.D., is a specialist in Northridge, CA with 45 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Hemoglobin A1C level (HCPCS:83036)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Photography of the retina (HCPCS:92250)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 9/12/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.