Navid Mehdipour

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108874 Issued in CA

Practice address

1401 Guerneville Rd Ste 300
Santa Rosa, CA 95403-4174

Phone

(213) 905-1073

NPI assigned

Aug 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mehdipour DMD PC

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1164230165
  NPD Authorized official
• Yasmine Zaeni DDS Inc

  • General Practice Dentistry
  • Concord, CA
  • NPI 1861958654
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1629557996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GUERNEVILLE RD STE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034174",
            "telephone_number": "707-800-8002",
            "fax_number": "707-800-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GUERNEVILLE RD STE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034174",
            "telephone_number": "213-905-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDIPOUR",
        "first_name": "NAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056312402",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loi C Medvin, M.A., PSY.D.
• Michael L. Medvin, M.D.
• Avery Meek
• Stephen Meffert, M.D.
• Mehdipour DMD PC
• Ketan C Mehta, M.D.
• Tamana Mehta
• Yukta Mehtaji
• Esmeralda Mejia Perez
• Robert Mejia Powell, MD

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.