Active NPI
Paul Vincent Sejud, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Santa Rosa, CA
National Provider Identifier
1881779387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- C5939675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C5939675 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Santa Rosa, CA
- NPI 1427138684
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.