Shabnam Pedram, MS, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

101505 Issued in CA

Practice address

15725 Pomerado Rd Ste 204
Poway, CA 92064-2059

Phone

(858) 485-8420

Fax

(858) 485-5773

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Ilien Jimeniz Minter DDS Inc

  • General Practice Dentistry
  • Poway, CA
  • NPI 1689740102
  NPD (past)
• Nosti Professional Dental Corporation

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1881922771
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1982125498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 204",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642059",
            "telephone_number": "858-485-8420",
            "fax_number": "858-485-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 204",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642059",
            "telephone_number": "858-485-8420",
            "fax_number": "858-485-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAM",
        "first_name": "SHABNAM",
        "credential": "MS, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101505",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C Milling M D a Professional Corporation
• Paul Neustein MD Inc
• Paul Schrupp
• Trevor Jonathan Paul, LMFT
• Michelle Marie Paulsen, LMFT
• Martha Pena Martinez
• Lorelei Pena Tempelton, DOULA
• Lee Ann Pennington
• Tania Peralta
• Sarah Pereira

• Dentist in Poway, CA
• Providers in Poway, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.