Individual provider Active NPI

Kanishka Wijegunaratne, M.D.

  • Internal Medicine Physician
  • Encino, CA
National Provider Identifier
1669714754
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A135131 Issued in CA
Practice address
16837 Shileno PL
Encino, CA 91436-3534
Phone
(310) 388-6798
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A135131 CA Primary

Addresses

Primary practice location

16837 Shileno PL
Encino, CA 91436-3534

Mailing address

16837 Shileno PL
Encino, CA 91436-3534
Phone (310) 388-6798

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801002691 CA Practitioner - Internal Medicine 5890088660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Chicago College of Medicine and Surgery, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansal IncGroup PAC ID 6406089739, 18 clinicians

Practice addresses (Care Compare)

1426 Montana Ave
Suite 2
Santa Monica, CA 90403-1763
Phone (310) 388-6798

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (800) 233-2771

Hospital & facility affiliations

  • First Smile Home Health Care Home health agency, Burbank, CA, CCN 059138
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Beverly Hills Rehabilitation Centre Nursing home, Los Angeles, CA, CCN 555700
  • Beachwood Post-Acute & Rehab Nursing home, Santa Monica, CA, CCN 056334
  • Kennedy Care Center Nursing home, Los Angeles, CA, CCN 055977
  • Guardian Rehabilitation Hospital Nursing home, Los Angeles, CA, CCN 056008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A135131CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
JFL Medical Inc Internal Medicine CurrentSince Dec 10, 2023 Accepting new patients
Kansal Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Petrel Emergency Physicians, a Medical Corporation PastSince Sep 28, 2015 Accepting new patients

Locations

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

8436 W 3rd St
Ste 601
Los Angeles, CA 90048
Phone (310) 295-2255

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1426 Montana Ave
Ste 2
Santa Monica, CA 90403
Phone (310) 388-6798

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

8721 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 435-1862

8733 Beverly Blvd
Ste 201
West Hollywood, CA 90048
Phone (310) 477-8400

Organizations & group practices 5

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 7

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1669714754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16837 SHILENO PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363534",
            "telephone_number": "310-388-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16837 SHILENO PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363534",
            "telephone_number": "310-388-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJEGUNARATNE",
        "first_name": "KANISHKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.