Individual provider Active NPI

Mihiduni L Ekanayake Wijesundara Ekanayake

  • Hearing Instrument Specialist
  • Laguna Hills, CA
National Provider Identifier
1033967849
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8996 Issued in CA
Practice address
23685 Moulton Pkwy Ste B1
Laguna Hills, CA 92653-1938
Phone
(949) 587-9935
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 8996 CA Primary

Addresses

Primary practice location

23685 Moulton Pkwy Ste B1
Laguna Hills, CA 92653-1938

Mailing address

5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 804-5725

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

LicenseStateTypeSpecialty
8996CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Hearing Inc Hearing Instrument Specialist CurrentSince May 12, 2024 Accepting new patients

Locations

23685 Moulton Pkwy
Ste B1
Laguna Hills, CA 92653
Phone (949) 587-9935

5555 Garden Grove Blvd
Ste 200
Westminster, CA 92683
Phone (714) 804-5725

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1033967849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GARDEN GROVE BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838234",
            "telephone_number": "714-804-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23685 MOULTON PKWY STE B1",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531938",
            "telephone_number": "949-587-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJESUNDARA EKANAYAKE",
        "first_name": "MIHIDUNI L EKANAYAKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.