Ruwanthi Samaranayake Campano, M.D

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A69121 Issued in CA

Practice address

41301 12TH St W Ste a
Palmdale, CA 93551-1465

Phone

(661) 726-6277

Fax

(661) 726-6291

NPI assigned

Jul 28, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

University of Maryland School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Otolaryngology MedicalGroup PAC ID 7911953179, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
• Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ruwanthi.campano@962.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden State Otolaryngology Medical

  • Specialist
  • Ridgecrest, CA
  • NPI 1174794408
  Medicare reassignment Care Compare group Authorized official
• Golden State Otolaryngology Medical

  • Specialist
  • Palmdale, CA
  • NPI 1518376011
  NPD (past) Authorized official
• Golden State Otolaryngology Medical Corporation

  • Specialist
  • Lancaster, CA
  • NPI 1568660611
  NPD (past) Authorized official
• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  NPD (past)
• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  Care Compare affiliation
• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation
• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  Care Compare affiliation
• Ridgecrest Regional Hospital

  • Land Ambulance
  • Ridgecrest, CA
  • NPI 1699398560

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023018389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41301 12TH ST W STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511465",
            "telephone_number": "661-726-6277",
            "fax_number": "661-726-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41301 12TH ST W STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511465",
            "telephone_number": "661-726-6277",
            "fax_number": "661-726-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANO",
        "first_name": "RUWANTHI",
        "middle_name": "SAMARANAYAKE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A69121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A691210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Denice Camacho, PHARMD
• Nicole Camacho
• Alma Vanessa Camarena
• Francisco Rios Camarillo, NP
• Kimberly Camberos
• Flory Elizabeth Campos
• Maritza Campos
• Katrina Mae Ricafrente Canas, PSY.D.
• Anita Paulette Canavaras, NP
• Mario Cantero

• Otolaryngology Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.