Michael Pedram, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

104435 Issued in CA

Practice address

5363 Balboa Blvd Ste 233
Encino, CA 91316-2824

Phone

(818) 788-4424

NPI assigned

Sep 18, 2019

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 names 1

• Michael Pedram Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hooman Adamous DMD a Professional Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • Bellflower, CA
  • NPI 1316400252

  Single Specialty

  NPD (past)
• Huynh and Watanabe Dental Corporation

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1225137573

  Oral and Maxillofacial Surgery

  NPD (past)
• Phi Huynh and Bryan Watanabe Dental Corporation

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1174967814
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1891345112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 LOMA VISTA DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101939",
            "telephone_number": "310-612-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 233",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162824",
            "telephone_number": "818-788-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14343 Bellflower Blvd",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907063135",
            "country_code": "US",
            "telephone_number": "562-866-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9510 Hageman Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933123953",
            "country_code": "US",
            "telephone_number": "661-829-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16380 Village Way",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913872108",
            "country_code": "US",
            "telephone_number": "661-310-2381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11120 Stockdale Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933113680",
            "country_code": "US",
            "telephone_number": "661-665-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDRAM",
        "first_name": "MICHAEL",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "104435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "PEDRAM",
            "credential": "DDS, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pediatric and Family Medical Center
• Pediatric Cardiology Medical Assoc. of So. California
• Pediatric Care Physicians a Professional Medical Corporation
• Pediatric Gastroenterology Medical Center, Inc.
• Panthea Pedoeim, NP
• Frida Danitza Peinado
• Ifat Peled, PHD
• Michelle Pellegrino, BCBA
• Howard L Pelta, DC
• Jenny Louise Pendleton, M.F.T.

• Oral and Maxillofacial Surgery (Dentist) in Encino, CA
• Providers in Encino, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.