Shwan Raouf Mohammed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103494 Issued in CA

Practice address

1100 N Gateway Dr
Madera, CA 93637-9600

Phone

(559) 363-4610

NPI assigned

Feb 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• S a Dental Partnership

  • Dental Clinic/Center
  • Hesperia, CA
  • NPI 1619782026

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1154886398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 MAIN ST STE C3",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453423",
            "telephone_number": "619-457-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N GATEWAY DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936379600",
            "telephone_number": "559-363-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "SHWAN",
        "middle_name": "RAOUF",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103494",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Rose Moffett
• Mohammad Afzal Arain MD Inc
• Mohammad Ashraf, M.D., Inc.
• Arfan Mohammed, PHARM. D.
• Princess Mohammed, PHARMD
• Sohaila M Mojadaddi, MD
• Brittney Tess Molina
• Aaron Montejano
• Megan Ginete Montelongo, RBT
• Petra Jesus Montemayor

• General Practice Dentistry in Madera, CA
• Providers in Madera, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.