Individual provider Active NPI

Ahmad Jawad Hamood, DDS

  • Dentist
  • Plymouth, CA
National Provider Identifier
1629737366
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107171 Issued in CA
Practice address
9449 Landrum St
Plymouth, CA 95669-9025
Phone
(209) 245-4413
NPI assigned
Dec 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107171 CA Primary

Addresses

Primary practice location

9449 Landrum St
Plymouth, CA 95669-9025

Mailing address

10117 Wexted Way
Elk Grove, CA 95757-5501
Phone (415) 819-3206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107171CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Johal and Ghazal Dental Corporation PastSince Dec 12, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1629737366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 WEXTED WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575501",
            "telephone_number": "415-819-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 LANDRUM ST",
            "city": "PLYMOUTH",
            "state": "CA",
            "postal_code": "956699025",
            "telephone_number": "209-245-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMOOD",
        "first_name": "AHMAD",
        "middle_name": "JAWAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.