PEYMAN HEDAYATI (NPI# 1336210095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336210095 |
| Entity Type | Individual |
| Full Name | PEYMAN HEDAYATI |
| Credential | DDS,MD |
| Practice Address |
855 Fountain Grove Pkwy Ste 201 Santa Rosa CA 95403-5736 |
| Practice Telephone | 7075454433 |
| Practice Fax Number | 7075452424 |
| Mailing Telephone | 7075454433 |
| Mailing Fax Number | 7075452424 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
43017 | CA | Dental Providers |
| Street Address |
855 FOUNTAIN GROVE PKWY STE 201 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689990962 | Vicente Chavez | Dentist | 1111 Sonoma Ave Ste 220, Santa Rosa, CA 95405-4833 | 2010-04-12 |
| 1275659336 | Robert Elton Jarvis II | Dentist | 2211 4th St, Santa Rosa, CA 95404-3210 | 2007-03-21 |
| 1770626921 | Leonard Michael Tyko II | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95405-4818 | 2007-02-15 |
| 1942309877 | Paul J Tiernan | Dentist | 30 Doctors Park Dr, Santa Rosa, CA 95405-6615 | 2006-09-21 |
| 1922380781 | Dr.robert E. Jarvis II, A California Professional Dental Corporation | Dentist | 2211 4th St, Santa Rosa, CA 95404-3210 | 2011-09-16 |
| 1285899211 | Christopher Sean Daniel | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95405-4802 | 2008-07-18 |
| 1609056878 | Jiries Peter Mogannam | Dentist | 1111 Sonoma Ave, Suite #220, Santa Rosa, CA 95405-4819 | 2007-11-05 |
| 1821281668 | Corsi Hoey Pearson Professional Corp. | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95407 | 2007-08-24 |
| 1447475363 | Michael F Hoey | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95405 | 2007-04-16 |
| 1427138684 | Paul V Sejud Dmd PC | Dentist | 1111 Sonoma Ave, #220, Santa Rosa, CA 95405 | 2006-10-16 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on PEYMAN HEDAYATI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.