Fatima Bala Jelini, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100488 Issued in CA

Practice address

21632 Sherman Way
Canoga Park, CA 91303-1538

Phone

(818) 999-6979

Fax

(818) 999-5009

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Fatemeh Balajelini Former name

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

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.

• Jelini Dental Corporation

  • Dental Clinic/Center
  • Canoga Park, CA
  • NPI 1598409245
  NPD Authorized official

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1275916348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21632 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031538",
            "telephone_number": "818-999-6979",
            "fax_number": "818-999-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21632 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031538",
            "telephone_number": "818-999-6979",
            "fax_number": "818-999-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELINI",
        "first_name": "FATIMA",
        "middle_name": "BALA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31158",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATEMEH",
            "last_name": "BALAJELINI",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hina Javaid-Camua, AMFT, APCC
• Ahmad Javaid
• Jay J Lin MD Inc a Prof Corp
• Karim Jazaerle
• Jelini Dental Corporation
• Jenny Park Optometry
• Jeremy Ian Grosser MD Inc.
• Jeremy Ian Grosser, M.D., Inc.
• Jeri B Munn DDS Apdc
• Zachary Jeronimus

• Dentist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.