George M. Jayatilaka, MD Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

GEORGE M. JAYATILAKA, MD INC

Practice address

1760 Termino Ave
Suite 116
Long Beach, CA 90804-2105

Phone

(562) 597-8885

Fax

(562) 597-3108

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Maria Samala

Title

Business Manager

Phone

(562) 436-8117

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• George M. Jayatilaka, MD Inc

  • Legal Medicine
  • Long Beach, CA
  • NPI 1437325404

  O20090127000730

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

George M Jayatilaka MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• George M. Jayatilaka, MD Inc

  • Legal Medicine
  • Long Beach, CA
  • NPI 1437325404
  NPD tax ID

Locations

Practitioners 1

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

• Francisco A Armosilla, M.D.

  • Legal Medicine
  • Long Beach, CA
  • NPI 1588735096
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1598931677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 116",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-597-8885",
            "fax_number": "562-597-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 116",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-597-8885",
            "fax_number": "562-597-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M. JAYATILAKA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "SAMALA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "562-436-8117"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ79153Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elmeriel Iruguin Genuino, PHARM.D.
• Surina Geoffroy, P.T.
• George a. Macer, Jr., M.D., Medical Corp.
• George H Tarryk Jr MD
• George M. Jayatilaka, MD Inc
• Mary George
• Natalie George
• Hany Abdelmalek Georgy
• Gerald W. Miller, MD a Proffessional Corp
• Corbin F Gerard, CAADE, BT

• Legal Medicine in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.