Individual provider Active NPI

Paul Vincent Sejud, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Rosa, CA
National Provider Identifier
1881779387
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
C5939675 Issued in CA
Practice address
1111 Sonoma Ave #220
Santa Rosa, CA 95405-4833
Phone
(707) 566-7300
Fax
(707) 566-7400
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X C5939675 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X C5939675 CA Primary

Addresses

Primary practice location

1111 Sonoma Ave #220
Santa Rosa, CA 95405-4833

Mailing address

1111 Sonoma Ave #220
Santa Rosa, CA 95405-4833
Phone (707) 566-7300

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

State licenses

LicenseStateTypeSpecialty
C5939675CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Paul V Sejud DMD PC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881779387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE #220",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054833",
            "telephone_number": "707-566-7300",
            "fax_number": "707-566-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE #220",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054833",
            "telephone_number": "707-566-7300",
            "fax_number": "707-566-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEJUD",
        "first_name": "PAUL",
        "middle_name": "VINCENT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "C5939675",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "C5939675",
            "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 Sep 11, 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.