DAVID C BONOVICH MD
NPI 1508374489
Psychiatry & Neurology - Vascular Neurology in Castro Valley, CA

Q: What is David C Bonovich MD's NPI number?

The NPI number for David C Bonovich MD is 1508374489. It was assigned to this organization in the NPPES registry on January 13, 2018.

Q: What is David C Bonovich MD's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Active since January 13, 2018

20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546(503) 579-5000(503) 579-5001 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2018, Jan 13, 2018 (2 updates tracked since 2018).

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About David C Bonovich Md NPPES

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

DAVID C BONOVICH MD (NPI 1508374489) is a healthcare organization registered as a vascular neurology in Castro Valley, California and active in the NPI registry since January 2018. The organization lists Leane Wadsworth, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508374489

Entity TypeOrganization

Primary Taxonomy2084V0102X

Legal Business NameDAVID C BONOVICH MD

Location Address20103 LAKE CHABOT RDCastro Valley, CA 94546-5305

Mailing Address14780 Sw Osprey Dr Ste 325Beaverton, OR 97007-8069 · (503) 579-5000 · Fax (503) 579-5001

Phone(503) 579-5000

Fax(503) 579-5001

Organization SubpartNo

Authorized OfficialLeane WadsworthOffice Manager · (503) 579-5000

Enumeration DateJanuary 13, 2018

Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration

✔ NPI 1508374489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

License✔ Licensed in CA · G71726

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.

20103 LAKE CHABOT RD, Castro Valley, CA 94546

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Other Identifiers 1

Medicaid7587738CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. OLUWASEYI SEGUN BALASIRE M.D.

Hospitalist