Emmanuel L Devera, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A41773 Issued in CA

Practice address

1045 Atlantic Ave Ste 818
Long Beach, CA 90813-3410

Phone

(562) 436-8117

Fax

(562) 432-2777

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

General Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George M. Jayatilaka, MD IncGroup PAC ID 5799849253, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• George M. Jayatilaka, MD Inc

  • Legal Medicine
  • Long Beach, CA
  • NPI 1437325404
  Medicare reassignment Care Compare group NPD

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

• Dignity Health

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114095726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 818",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133410",
            "telephone_number": "562-436-8117",
            "fax_number": "562-432-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 818",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133410",
            "telephone_number": "562-436-8117",
            "fax_number": "562-432-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERA",
        "first_name": "EMMANUEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A41773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecily Desmond
• Linda Destefano, DNP
• Steven Elliott Deutsch, PH. D.
• Deborah L Devar, CMT
• Audra Deveikis, M.D.
• Ruthann Devera, M.D.
• Julia Grace Devere
• Diana Devereaux
• Kirsten Michelle Devin, M.D.
• Carmen Devore, L.AC.

• Legal Medicine in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.