Organization Active NPI

C. Desmond Gunatilaka, M.D. , Inc.

  • Primary Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1225339211
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A30340 Issued in CA
Legal business name
C. DESMOND GUNATILAKA, M.D. , INC.
Practice address
393 Blossom Hill Rd
Suite 260 B
San Jose, CA 95123-1652
Phone
(408) 281-0900
Fax
(408) 281-1927
NPI assigned
Nov 8, 2010
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Cecil Desmond Gunatilaka, M.D.
Title
Physician
Phone
(408) 281-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A30340 CA Primary

Addresses

Primary practice location

393 Blossom Hill Rd
Suite 260 B
San Jose, CA 95123-1652

Mailing address

393 Blossom Hill Rd
Suite 260 B
San Jose, CA 95123-1652
Phone (408) 281-0900

National Provider Directory

National Provider Directory

Locations

393 Blossom Hill Rd
Ste 260B
San Jose, CA 95123
Phone (408) 281-0900

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1225339211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD",
            "address_2": "SUITE 260 B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231652",
            "telephone_number": "408-281-0900",
            "fax_number": "408-281-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD",
            "address_2": "SUITE 260 B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231652",
            "telephone_number": "408-281-0900",
            "fax_number": "408-281-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DESMOND GUNATILAKA, M.D. , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "GUNATILAKA",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-281-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A30340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.