1. Home
  2. Directory
  3. California
  4. Northridge
  5. Specialist
  6. NPI Profile

REZA BONABI MD, INC
NPI 1366607988
Specialist in Northridge, CA

Active since July 23, 2008CLIA 05D0868792 · Waiver
17075 DEVONSHIRE ST, SUITE 301, NORTHRIDGE, CA 91325(818) 368-4212(818) 366-9351 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reza Bonabi Md, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REZA BONABI MD, INC (NPI 1366607988) is a healthcare organization registered as a specialist in Northridge, California and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Nagadeh Gholamreza Bonabi, Physician, as its authorized official.

NPPES Registry Identity

NPI1366607988
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameREZA BONABI MD, INC
Location Address17075 DEVONSHIRE ST, SUITE 301Northridge, CA 91325-1600
Mailing Address17075 Devonshire St, Suite 301Northridge, CA 91325-1600 · (818) 368-4212 · Fax (818) 366-9351
Phone(818) 368-4212
Fax(818) 366-9351
Organization SubpartNo
Authorized OfficialNagadeh Gholamreza BonabiPhysician · (818) 368-4212
Enumeration DateJuly 23, 2008
✔ NPI 1366607988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A46355
Definition
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.
17075 DEVONSHIRE ST, Northridge, CA 91325
Open in Google Maps ↗

Other Identifiers 2

Medicare PINA46355CA
Medicaid00A463550CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0868792

Reza Bonabi MD Inc · Northridge, CA
Active · expires Sep 11, 2026
CLIA Number05D0868792
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorGholamreza Nagadeh Bonabi
Laboratory Phone(818) 368-4212
Laboratory LocationReza Bonabi MD Inc17075 Devonshire Street Suite 301, Northridge, CA 91325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT F. ROBERTSON A MEDICAL CORP.
Internal Medicine (Pulmonary Disease)
17075 DEVONSHIRE ST, #205
NORTHRIDGE, CA 91325
Los Angeles County (661) 272-0240
DR. FAWZY SAMY BASTA SR. MD
Psychiatry & Neurology (Psychiatry)
17075 DEVONSHIRE ST, STE 204
NORTHRIDGE, CA 91325
Los Angeles County (818) 368-8929
SIAMAK ETEHAD MD INC A MEDICAL CORPORATION
Internal Medicine
17075 DEVONSHIRE ST, #100
NORTHRIDGE, CA 91325
Los Angeles County (818) 363-2077
MEHMET H OZGUR MD
Neurological Surgery
17075 DEVONSHIRE ST, SUITE 106
NORTHRIDGE, CA 91325
Los Angeles County (818) 366-8250
GHOLAMREZA NAGADEH BONABI M.D.,
Specialist
17075 DEVONSHIRE ST, SUITE 300
NORTHRIDGE, CA 91325
Los Angeles County (818) 368-4212
MRS. KARINE SETYAN
Nurse Practitioner (Psychiatric/Mental Health)
17075 DEVONSHIRE ST
NORTHRIDGE, CA 91325
Los Angeles County (818) 368-8572
DORIS A BARIZO DMD
Dentist (General Practice)
17075 DEVONSHIRE ST, SUITE 208
NORTHRIDGE, CA 91325
Los Angeles County (818) 831-3365
CHARLES W. CHIDSEY III, M.D., A PROFESSIONAL CORPORATION
Surgery
17075 DEVONSHIRE ST, SUITE 106
NORTHRIDGE, CA 91325
Los Angeles County (818) 363-9732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reza Bonabi MD, Inc's NPI number?

The NPI number for Reza Bonabi MD, Inc is 1366607988. It was assigned to this organization in the NPPES registry on July 23, 2008.

Where is Reza Bonabi MD, Inc located?

Reza Bonabi MD, Inc is located at 17075 Devonshire St Suite 301, Northridge, CA 91325. The listed phone number is (818) 368-4212.

What is Reza Bonabi MD, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Reza Bonabi MD, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0868792) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reza Bonabi MD, Inc was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.