Individual provider Active NPI

Mythilla Karunaratne, FNP-BC

  • Family Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1285765313
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14073 Issued in CA
Practice address
2161 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3348
Phone
(925) 378-5871
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14073 CA Primary

Addresses

Primary practice location

2161 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3348

Mailing address

2161 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3348

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000379 CA Practitioner - Nurse Practitioner 7012091440 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14073CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Sep 13, 2022 Accepting new patients
Bass Medical Group Current Accepting new patients
UCSF Pediatrics Associates CurrentSince Sep 13, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 13, 2022 Accepting new patients
Regents of the University of California CurrentSince Sep 13, 2022 Accepting new patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Aug 12, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 13, 2022 Accepting new patients
Bass Medical Group CurrentSince Aug 12, 2024 Accepting new patients
University of California San Francisco CurrentSince Sep 13, 2022 Accepting new patients
UCSF Dept of Surgery CurrentSince Sep 13, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

2070 Clinton Ave
Fl 3
Alameda, CA 94501
Phone (510) 548-6555

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1825 4th St
Fl 3
San Francisco, CA 94143
Phone (415) 353-2566

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

2161 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 378-5871

Interoperability endpoints

  • Direct secure messaging: mkarunaratne250659@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1285765313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983348",
            "telephone_number": "925-378-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUNARATNE",
        "first_name": "MYTHILLA",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.