Sri Jayantha Wijegoonaratna, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A100580 Issued in CA

Practice address

820 S Cottontail LN
Anaheim, CA 92808-1409

Phone

(714) 873-3559

Fax

(714) 280-8504

NPI assigned

Dec 6, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• GN Medical Associates, Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1275576522
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1457534984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S COTTONTAIL LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081409",
            "telephone_number": "714-873-3559",
            "fax_number": "714-280-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S COTTONTAIL LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081409",
            "telephone_number": "714-873-3559",
            "fax_number": "714-280-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJEGOONARATNA",
        "first_name": "SRI",
        "middle_name": "JAYANTHA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Whyte, DPT
• Carle Danyelle Wickliffe
• Eiress Wicks
• Annel Widger, SCHOOL COUNSELOR
• Annika Wiederin
• Mapitiyage N Wijesinghe, M.D.
• Wilcox Physical Rehabilitation Center
• Aaron Philip Wilcox, M.D.
• Bernardina Gertruda Wilcox, P.T.
• Dina Wild

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.