Active NPI
Faina Gelman, D.D.S.
- Pediatric Dentistry
- San Fernando, CA
National Provider Identifier
1952566820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 54988
- Practice address
- 11273 Laurel Canyon Blvd
#3
San Fernando, CA 91340-4300 - Phone
- (310) 995-4465
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 54988 | CA | Primary |
Addresses
Primary practice location
11273 Laurel Canyon Blvd
#3
San Fernando, CA 91340-4300
Mailing address
11273 Laurel Canyon Blvd
#3
San Fernando, CA 91340-4300
Phone (310) 995-4465
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54988 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1952566820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11273 LAUREL CANYON BLVD",
"address_2": "#3",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404300",
"telephone_number": "310-995-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11273 LAUREL CANYON BLVD",
"address_2": "#3",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404300",
"telephone_number": "310-995-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELMAN",
"first_name": "FAINA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "54988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.