Organization Active NPI

Jayasinghe Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1457460503
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAYASINGHE MEDICAL GROUP INC
Practice address
319 N Soto St
Los Angeles, CA 90033-1837
Phone
(323) 266-6730
Fax
(323) 266-6750
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Dr. Walter Jayasinghe, M.D.NPI 1831106665
Title
Owner
Phone
(213) 483-2620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA14957 CA
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA15310 CA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X RN349926 CA

Addresses

Primary practice location

319 N Soto St
Los Angeles, CA 90033-1837

Mailing address

1930 Wilshire Blvd
Los Angeles, CA 90057-3605
Phone (213) 483-2620

Other identifiers 1

IdentifierTypeStateIssuer
GR0004062MedicaidCA

Other names 1

  • LOS ANGELES MEDICAL CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 319soto@lamedcenter.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1930 Wilshire Blvd
Los Angeles, CA 90057
Phone (213) 413-4203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1457460503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-483-2620",
            "fax_number": "213-483-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N SOTO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331837",
            "telephone_number": "323-266-6730",
            "fax_number": "323-266-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYASINGHE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "JAYASINGHE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-483-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14957",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15310",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN349926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0004062",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "319soto@lamedcenter.com",
            "affiliation": "N",
            "endpointDescription": "319soto@lamedcenter.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "319 N Soto St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900331837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LOS ANGELES MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOS ANGELES MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.