Individual provider Active NPI

Sam Rohani, DMD

  • General Practice Dentistry
  • Redding, CA
National Provider Identifier
1790321891
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103860 Issued in CA
Practice address
1627 Hilltop Dr Ste a
Redding, CA 96002-0252
Phone
(530) 800-4755
NPI assigned
Nov 23, 2019
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103860 CA Primary

Addresses

Primary practice location

1627 Hilltop Dr Ste a
Redding, CA 96002-0252

Mailing address

1627 Hilltop Dr Ste a
Redding, CA 96002-0252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226002835 CA Practitioner - Oral Surgery 5890122105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103860CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Molayem Dental Corporation CurrentSince Jan 12, 2020 Accepting new patients
McCloud Healthcare Clinic, Inc. Current Accepting new patients
Ventura Bright Dental Practice CurrentSince Jun 8, 2025 Accepting new patients
McCloud Healthcare Clinic, Inc. CurrentSince Jul 14, 2021 Accepting new patients
McCloud Healthcare Clinic, Inc. CurrentSince Jul 14, 2021 Accepting new patients
Arnulfo Molina Professional Dental Corporation General Practice PastSince Dec 1, 2019 Accepting new patients

Locations

4309 Stagecoach Rd
Dunsmuir, CA 96025
Phone (530) 235-2205

3450 Loma Vista Rd
Ventura, CA 93003
Phone (530) 500-2290

20046 Ventura Blvd
Woodland Hills, CA 91364
Phone (818) 268-6029

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1790321891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 HILLTOP DR STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HILLTOP DR STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020252",
            "telephone_number": "530-800-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHANI",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.