Doctor profile · Federal record
Dr. Jared Fortman, DDS
Endodontist · Santa Rosa, CA
- NPI 1922193838
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1100 Sonoma Ave, Ste B
Santa Rosa, CA 95405
(707) 527-9170
fax (707) 527-0255
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- August 5, 2008
- Specialty taxonomy
- 1223E0200X — NUCC code
- State license (1)
- California #51826
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922193838. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sonendo INC | 1 | $13.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$117
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 11 | 0 | $117 |
Frequently asked questions
What is Dr. Jared Fortman's medical specialty?
Dr. Jared Fortman practices Endodontist in Santa Rosa, CA.
Where does Dr. Jared Fortman practice?
Dr. Jared Fortman practices at 1100 Sonoma Ave, Santa Rosa, CA 95405. Office phone: 7075279170.
What is Dr. Jared Fortman's NPI?
Dr. Jared Fortman's National Provider Identifier (NPI) is 1922193838, issued by NPPES.