Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bijan Bonakdar, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578310520

Bijan Bonakdar, DO is a Student in an Organized Health Care Education/Training Program in Modesto, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-6092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578310520
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address4601 Dale Rd, Modesto, CA 95356-9718

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