Active NPI
Jason Buddika Samarasena, M.D.
- Gastroenterology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A100124
- Practice address
- 101 The City Dr S
Building 200, Suite 720
Orange, CA 92868-3201 - Phone
- (714) 456-6693
- Fax
- (714) 456-8874
- NPI assigned
- Dec 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A100124 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A100124 | CA |
Addresses
Primary practice location
101 The City Dr S
Building 200, Suite 720
Orange, CA 92868-3201
Mailing address
363 Newport Ave
Unit 317
Long Beach, CA 90814-2661
Phone (562) 438-2330
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Hospital & facility affiliations
- Uci Health-Orange
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 123 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 373 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100124 | CA | MD | Pediatric Dentist |
| A100124 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Gastroenterology | Current | Accepting new patients |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Bristol Park Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| UC Regents | Internal Medicine | Past | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 22
Orange, CA 92868
Phone (888) 717-4463
101 The City Dr S
Bldg 200
Orange, CA 92868
Phone (714) 456-5922
101 The City Dr S
Bldg 22C
Orange, CA 92868
Phone (714) 456-5308
Organizations & group practices 7
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.
-
- Infectious Disease Physician
- Orange, CA
- NPI 1760430847
-
- Pulmonary Disease Physician
- Orange, CA
- NPI 1629026729
-
- Gastroenterology Physician
- Orange, CA
- NPI 1902854078
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
Internal Medicine
-
- Internal Medicine Physician
- Orange, CA
- NPI 1205884392
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1629253364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 NEWPORT AVE",
"address_2": "UNIT 317",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908142661",
"telephone_number": "562-438-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"address_2": "BUILDING 200, SUITE 720",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-6693",
"fax_number": "714-456-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMARASENA",
"first_name": "JASON",
"middle_name": "BUDDIKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-31",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A100124",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A100124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.