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: October 25, 2026.

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

On this page

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

Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David C Bonovich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David C Bonovich MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Bonovich, M.D.

Interventional Radiology

NPI 1518078443

505 PARNASSUS AVE FL 8
San Francisco, CA 94143

(415) 206-3212

✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Where is David C Bonovich MD located?

David C Bonovich MD is located at 20103 Lake Chabot Rd, Castro Valley, CA 94546. The listed phone number is (503) 579-5000.

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.

Is David C Bonovich MD enrolled in Medicare?

Yes. David C Bonovich MD is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David C Bonovich MD?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to David C Bonovich MD. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David C Bonovich MD was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.