Active NPI
Stanley Wijesekera
- Pediatrics Physician
- Montebello, CA
National Provider Identifier
1215001987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A31188
- Practice address
- 101 E Beverly Blvd
# 305
Montebello, CA 90640-4300 - Phone
- (323) 888-8981
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A31188 | CA | Primary |
Addresses
Primary practice location
101 E Beverly Blvd
# 305
Montebello, CA 90640-4300
Mailing address
101 E Beverly Blvd
# 305
Montebello, CA 90640-4300
Phone (323) 888-8981
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 |
|---|---|---|---|
| A31188 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215001987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E BEVERLY BLVD",
"address_2": "# 305",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404300",
"telephone_number": "323-888-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E BEVERLY BLVD",
"address_2": "# 305",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404300",
"telephone_number": "323-888-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIJESEKERA",
"first_name": "STANLEY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A31188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.