1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Dentist
  6. NPI Profile

MERSEDEH POURADIB D.D.S
NPI 1639314677
Dentist in Santa Rosa, CA

Active since December 04, 2008
2801 YULUPA AVE, SANTA ROSA, CA 95405(707) 544-8338(707) 544-8338 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mersedeh Pouradib D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERSEDEH POURADIB D.D.S (NPI 1639314677) is an individual dentist in Santa Rosa, California, licensed in California (45604) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1639314677
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMERSEDEH POURADIBCredential: D.D.S
Location Address2801 YULUPA AVESanta Rosa, CA 95405-9115
Mailing Address30 RunningbrookIrvine, CA 92620-1215 · (714) 573-2933 · Fax (714) 573-2933
Phone(707) 544-8338
Fax(707) 544-8338
Sole ProprietorYes
Enumeration DateDecember 4, 2008
✔ NPI 1639314677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 45604
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2801 YULUPA AVE, Santa Rosa, CA 95405
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA LYNN DELWICHE D.D.S
Dentist (General Practice)
2801 YULUPA AVE, SUITE D
SANTA ROSA, CA 95405
Sonoma County (707) 526-6165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mersedeh Pouradib's NPI number?

The NPI number for Mersedeh Pouradib is 1639314677. It was assigned to this individual provider in the NPPES registry on December 4, 2008.

Where is Mersedeh Pouradib located?

Mersedeh Pouradib practices at 2801 Yulupa Ave, Santa Rosa, CA 95405. The listed phone number is (707) 544-8338.

What is Mersedeh Pouradib's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mersedeh Pouradib was last updated on December 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.