Individual provider Active NPI

Payam Behradnia, DDS

  • Dentist
  • Santa Rosa, CA
National Provider Identifier
1194038059
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60893 Issued in CA
Practice address
4757 Hoen Ave
Santa Rosa, CA 95405-7862
Phone
(310) 478-3711
Fax
(707) 575-5122
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60893 CA Primary

Addresses

Primary practice location

4757 Hoen Ave
Santa Rosa, CA 95405-7862

Mailing address

4757 Hoen Ave
Santa Rosa, CA 95405-7862
Phone (310) 598-0409

Other practice location 1

3100 19th Ave
San Francisco, CA 94132-2006
Phone (415) 584-2537

Other practice location 2

1544 Jefferson St Ste A
Napa, CA 94559-1704
Phone (707) 255-7711

Other practice location 3

361 3rd St Ste H
San Rafael, CA 94901-3580
Phone (415) 456-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1194038059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "310-598-0409",
            "fax_number": "707-575-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "310-478-3711",
            "fax_number": "707-575-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 19th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941322006",
            "country_code": "US",
            "telephone_number": "415-584-2537",
            "fax_number": "415-852-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1544 Jefferson St Ste A",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945591704",
            "country_code": "US",
            "telephone_number": "707-255-7711",
            "fax_number": "707-255-8424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 3rd St Ste H",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013580",
            "country_code": "US",
            "telephone_number": "415-456-3273",
            "fax_number": "417-785-7567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHRADNIA",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.