Ama Shankini Wijegunawardena, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A125459 Issued in CA

Practice address

9300 Valley Childrens PL
Madera, CA 93636-8761

Phone

(347) 638-4126

NPI assigned

Jul 21, 2010

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awijegunawardena15774@valleychildrens-prd.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/6226/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Children's Medical Group

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1437555265
  Medicare reassignment NPD
• Valley Children's Specialty Medical Group, Inc.

  • Pediatrics Physician
  • Madera, CA
  • NPI 1013968296
  Medicare reassignment NPD
• Valley Children's Hospital

  dba Charlie Mitchell Rural Health Clinic

  • Rural Health Clinic/Center
  • Madera, CA
  • NPI 1063573962
  NPD (past)
• Valley Children's Hospital

  • Children's Hospital
  • Madera, CA
  • NPI 1952312043
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1649583410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E SHEPHERD AVE",
            "address_2": "APT 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205615",
            "telephone_number": "347-638-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "347-638-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJEGUNAWARDENA",
        "first_name": "AMA",
        "middle_name": "SHANKINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A125459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Allen Wetterau, M.D.
• Erica Marie Wharton, DPT
• Hannah Raquel Whatley
• Sean Wheelock, RNFA
• Catherine White, OTR L
• Amy Elizabeth Willey, M.S.W.
• John Paul Williams, DDS
• Valerie Renee Williams, M.D.
• Lori Willow, MA
• Rebecca Wilson-Summerford

• Pediatrics Physician in Madera, CA
• Providers in Madera, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.