Individual provider Active NPI

Gamini Jayasinghe, M.D.

  • Psychiatry Physician
  • Buena Park, CA
National Provider Identifier
1235120890
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A26614 Issued in CA
Practice address
8522 Travistuck PL
Buena Park, CA 90621-1602
Phone
(714) 523-8191
Fax
(714) 899-4275
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A26614 CA Primary

Addresses

Primary practice location

8522 Travistuck PL
Buena Park, CA 90621-1602

Mailing address

8522 Travistuck PL
Buena Park, CA 90621-1602
Phone (714) 523-8191

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100325000722 CA Practitioner - Psychiatry 8224164520 Practice locations: La Palma, CA; Buena Park, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A26614CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1235120890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 TRAVISTUCK PL",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211602",
            "telephone_number": "714-523-8191",
            "fax_number": "714-899-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 TRAVISTUCK PL",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211602",
            "telephone_number": "714-523-8191",
            "fax_number": "714-899-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASINGHE",
        "first_name": "GAMINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A26614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.