Ambawalage Sanduni Madushani Silva

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95002320 Issued in CA

Practice address

26000 W Lugonia Ave Apt 1203
Redlands, CA 92374-5104

Phone

(248) 991-7737

NPI assigned

Mar 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Nursing Anesthesia IncGroup PAC ID 9436459278, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mission Nursing Anesthesia, Inc

  • Certified Registered Nurse Anesthetist
  • Rancho Mirage, CA
  • NPI 1932571551

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Coachella Valley Anesthesia a Professional Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1013662048

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Liberty Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1518626258
  NPD (past)

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1326805482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26000 W LUGONIA AVE APT 1203",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 W LUGONIA AVE APT 1203",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745104",
            "telephone_number": "248-991-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "AMBAWALAGE",
        "middle_name": "SANDUNI MADUSHANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thompson Siever, DDS
• Jean Sigaran, LCSW
• Matthew Sihombing
• Elmer Sihotang, P.T.
• Adina P. Silva, MFT
• Jocynthia De Jesus Silva, FNP
• Jenelle Meredith Silvers, DDS
• Silverscreen Healthcare Inc.
• Jessica Blair Simandjuntak, RN, IBCLC
• Katarzyna Magdalena Simmons, CCC-SLP

• Certified Registered Nurse Anesthetist in Redlands, CA
• Providers in Redlands, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.