Active NPI
Integrative Medical Center
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1215030747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A49332
- Legal business name
- INTEGRATIVE MEDICAL CENTER
- Practice address
- 526 W 17TH St
Santa Ana, CA 92706-3619 - Phone
- (714) 558-9355
- Fax
- (714) 558-0870
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter Jayasinghe, M.D.
- Title
- Owner
- Phone
- (213) 483-2620
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A31911 | CA | |
| Family Medicine Physician | 207Q00000X | A49332 | CA | Primary |
| Gynecology Physician | 207VG0400X | A26210 | CA | |
| Pediatrics Physician | 208000000X | A38978 | CA | |
| Physician Assistant | 363A00000X | PA14480 | CA | |
| Physician Assistant | 363A00000X | PA14957 | CA |
Addresses
Primary practice location
526 W 17TH St
Santa Ana, CA 92706-3619
Mailing address
1930 Wilshire Blvd
Ste 1100
Los Angeles, CA 90057-3605
Phone (213) 483-2620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0015600 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Integrative Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Santa Ana, CA
- NPI 1609017805
Locations
1930 Wilshire Blvd
Ste 1100
Los Angeles, CA 90057
Phone (213) 483-2620
526 W 17th St
Santa Ana, CA 92706
Phone (714) 558-9355
10362 Bolsa Ave
Ste 211212
Westminster, CA 92683
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Moreno Valley, CA
- NPI 1336155258
-
- Pediatrics Physician
- Westminster, CA
- NPI 1316974561
-
- Family Medicine Physician
- Lodi, CA
- NPI 1598742413
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1306917851
-
- Family Medicine Physician
- Westminster, CA
- NPI 1225065428
-
- Pediatrics Physician
- Westminster, CA
- NPI 1407235625
-
- Internal Medicine Physician
- Westminster, CA
- NPI 1619921095
-
- Pediatrics Physician
- Westminster, CA
- NPI 1568499630
-
- Pediatrics Physician
- Westminster, CA
- NPI 1831126036
-
- Family Medicine Physician
- Westminster, CA
- NPI 1396799672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1215030747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 WILSHIRE BLVD",
"address_2": "STE 1100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573605",
"telephone_number": "213-483-2620",
"fax_number": "213-483-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063619",
"telephone_number": "714-558-9355",
"fax_number": "714-558-0870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "JAYASINGHE",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-483-2620",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A31911",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A49332",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A26210",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A38978",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14480",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14957",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0015600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.