OrganizationActive
David C Bonovich MD
NPI 1508374489 · Vascular Neurology Physician · Castro Valley, CA
Provider details
- NPI number
- 1508374489
- Entity type
- Organization
- Primary specialty
- Vascular Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leane Wadsworth, Office Manager(503) 579-5000
- License
- G71726 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone: (503) 579-5000
Fax: (503) 579-5001
Approximate (ZIP-level) locationGet directions
Mailing address
14780 Sw Osprey Dr Ste 325
Beaverton, OR 97007-8069
Registry dates
- Enumerated
- 2018-01-13
- Last updated
- 2018-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.