Jesse Seifu Felema, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102155 Issued in CA

Practice address

14305 Baseline Ave
Fontana, CA 92336

Phone

(909) 355-1700

NPI assigned

Nov 17, 2017

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Compean and Jefferson Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1427140284
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1255845947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 DEEP SPRINGS DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111449",
            "telephone_number": "909-522-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 BASELINE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-355-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELEMA",
        "first_name": "JESSE",
        "middle_name": "SEIFU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindra Faskell
• Fata Inc.
• Chiraz El Helou Fathy, MA, AMFT
• Cynthia Isabel Faurrieta
• Anita Fears, M.D.
• Eva Jimenez Feliciano, M.D.
• Katherine Felix
• Nancy Louise Felix, LMFT
• Rosangelica Felix
• Christal La Shawn Fennell, LVN

• Dentist in Fontana, CA
• Providers in Fontana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.