Mohamed Abdelalim Elrasd

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112861 Issued in CA

Practice address

320 S Cherokee LN
Lodi, CA 95240-4266

Phone

(209) 366-7970

NPI assigned

Apr 29, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Western Dental Services, Inc.

  • General Practice Dentistry
  • Lodi, CA
  • NPI 1760538151
  NPD (past)

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1629914742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 PASO ROBLES WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586132",
            "telephone_number": "267-351-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S CHEROKEE LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952404266",
            "telephone_number": "209-366-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELRASD",
        "first_name": "MOHAMED",
        "middle_name": "ABDELALIM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehlers Holdings Inc
• Inshah Ehsan
• Elixir Home Health Care & Hospice,Inc.
• Elixir Home Health Care & Hospice,Inc.
• Dinah Elmesewdy
• Jessica Suzanne Elrod
• Emeritus Corporation
• Emil Tanase DDS PC
• Endoscopy Center of Lodi
• Gabriel Enescu, PT

• General Practice Dentistry in Lodi, CA
• Providers in Lodi, 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 May 6, 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.