Active NPI
Mohan Priyakantha Kumaratne, M.D.
- Pediatric Adolescent Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1104881523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- A35327
- Practice address
- 17692 Beach Blvd
Ste. 200
Huntington Beach, CA 92647-6837 - Phone
- (714) 847-6975
- Fax
- (714) 847-9727
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 Adolescent Medicine Physician | 2080A0000X | A35327 | CA | Primary |
Addresses
Primary practice location
17692 Beach Blvd
Ste. 200
Huntington Beach, CA 92647-6837
Mailing address
17692 Beach Blvd
Ste. 200
Huntington Beach, CA 92647-6837
Phone (714) 847-6975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A353270 | Medicaid | CA |
Other names 1
- Dr. Mohan Priyakantha Kumararatne
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35327 | CA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104881523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17692 BEACH BLVD",
"address_2": "STE. 200",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926476837",
"telephone_number": "714-847-6975",
"fax_number": "714-847-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17692 BEACH BLVD",
"address_2": "STE. 200",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926476837",
"telephone_number": "714-847-6975",
"fax_number": "714-847-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMARATNE",
"first_name": "MOHAN",
"middle_name": "PRIYAKANTHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A35327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A353270",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOHAN",
"last_name": "KUMARARATNE",
"middle_name": "PRIYAKANTHA",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.