DAVID C BONOVICH MD NPI 1508374489

NPI Information

  • NPI: 1508374489
  • Provider Name: DAVID C BONOVICH MD
  • Classification: Psychiatry & Neurology - 2084V0102X
  • Specialization: Vascular Neurology
  • Entity Type: Organization
  • Address: 20103 LAKE CHABOT RD
    CASTRO VALLEY, CA
    ZIP 94546
  • Phone: (503) 579-5000

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NPI Details

DAVID C BONOVICH MD is a vascular neurology psychiatry neurology in Castro Valley, CA. The provider is 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. DAVID C BONOVICH MD NPI is 1508374489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546-305
Phone: (503) 579-5000
Fax: (503) 579-5001

The provider's authorized official is Leane Wadsworth .
The authorized official title is Office Manager and has the following contact phone number (503) 579-5000.

The enumeration date for this NPI number is 1/13/2018 and was last updated on 10/8/2018.

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
12084V0102XPsychiatry & NeurologyVascular NeurologyG71726CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17587738MEDICAIDCALIFORNIA

What is NPI?

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

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