Individual provider Active NPI

Sachini Kasunika Peiris

  • Physician Assistant
  • Laguna Hills, CA
National Provider Identifier
1487365482
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
24012 Calle de la Plata Ste 120
Laguna Hills, CA 92653-3632
Phone
(949) 588-7246
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

24012 Calle de la Plata Ste 120
Laguna Hills, CA 92653-3632

Mailing address

24012 Calle de la Plata Ste 120
Laguna Hills, CA 92653-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318003444 CA Practitioner - Physician Assistant 3577900257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Center of North Orange County a Medical CorpGroup PAC ID 4486617156, 5 clinicians

Practice addresses (Care Compare)

381 Imperial Hwy
Fullerton, CA 92835-1040
Phone (714) 879-7200

Hospital & facility affiliations

  • Abbot Homehealth Inc Home health agency, Rancho Cucamonga, CA, CCN 559502
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sachinipeiris@nncoc.allscriptsdirect.net
  • Direct secure messaging: sachini.peiris.p45@direct.omnieyeatlanta.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1487365482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533632",
            "telephone_number": "949-588-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIRIS",
        "first_name": "SACHINI",
        "middle_name": "KASUNIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.