Organization
DAVID C BONOVICH MD
Active
Organization
DAVID C BONOVICH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANE WADSWORTH (OFFICE MANAGER)
(503) 579-5000
Entity
Organization
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(503) 579-5000
(503) 579-5001
Mailing address
14780 SW OSPREY DR STE 325, BEAVERTON, OR 97007-8069
(503) 579-5000
(503) 579-5001
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
G71726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7587738
—
CA
Enumeration date
01/13/2018
Last updated
10/08/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up