Maithri N. Weerasinghe MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48518 Issued in CA

Legal business name

MAITHRI N. WEERASINGHE MD INC

Doing business as

Dr Mike's Walk In Clinic

Practice address

716 E Main St
Barstow, CA 92311-2354

Phone

(760) 256-6426

NPI assigned

Aug 8, 2006

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marco A Alfonzo

Title

Office Manager

Phone

(760) 953-8059

Specialties & licenses 1

Addresses

Other names 1

• Dr Mike's Walk In Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikel Angelo Alwis, M.D.

  • Family Medicine Physician
  • Barstow, CA
  • NPI 1790705671
  Medicare reassignment NPD
• Festus Idahosa-Erese, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Barstow, CA
  • NPI 1871503342
  Medicare reassignment
• Rachel Virginia Riley, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Victorville, CA
  • NPI 1457640765
  Medicare reassignment
• Keith Alan Wilson, P.A.

  • Physician Assistant
  • Victorville, CA
  • NPI 1841470507
  Medicare reassignment
• Khaled Ahmad Sanadiki, MD

  • Pediatrics Physician
  • Victorville, CA
  • NPI 1821019449
  NPD (past)
• Poopal Sivananda, MD

  • Internal Medicine Physician
  • Barstow, CA
  • NPI 1518977099
  NPD (past)
• Richel Yolandi Strydom, M.D.

  • Public Health & General Preventive Medicine Physician
  • Loma Linda, CA
  • NPI 1275768350
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1295745743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923120487",
            "telephone_number": "760-953-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112354",
            "telephone_number": "760-256-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITHRI N. WEERASINGHE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "ALFONZO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-953-8059"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Mike's Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Sue Lystra
• Ebony Mabry
• Michelle Denise Macias, B.A. PSYCH, CD SPECI
• Hector Marquez Magpayo, DDS
• James Harris Maher, LCSW
• Make It Happen Conglomerate Corp (Make It Happen Center)
• Tracy L Malan, RPT
• Desrianna Maldonado
• Jlanamae Kaleipoipe Maldonado
• Mohan Mallam, M.D.

• Family Medicine Physician in Barstow, CA
• Providers in Barstow, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.