Active NPI
Sucharitha Gunasekera, M.D.
- Pediatrics Physician
- San Luis, AZ
National Provider Identifier
1306046677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36944
- Practice address
- 815 E Juan Sanchez Blvd
San Luis, AZ 85349 - Phone
- (928) 627-3822
- Fax
- (928) 627-3989
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36944 | AZ | Primary |
Addresses
Primary practice location
815 E Juan Sanchez Blvd
San Luis, AZ 85349
Mailing address
2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 819-8812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36944 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1306046677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646123",
"telephone_number": "928-819-8812",
"fax_number": "928-539-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E JUAN SANCHEZ BLVD",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "85349",
"telephone_number": "928-627-3822",
"fax_number": "928-627-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNASEKERA",
"first_name": "SUCHARITHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "36944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.