Organization Active NPI

Nandi Wijesinghe, M.D., Inc

  • Obstetrics & Gynecology Physician
  • Anaheim, CA
National Provider Identifier
1679753347
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A33740 Issued in CA
Legal business name
NANDI WIJESINGHE, M.D., INC
Practice address
947 S Anaheim Blvd
Suite 240
Anaheim, CA 92805-5582
Phone
(714) 774-8870
Fax
(714) 635-5704
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Mapitiyage N Wijesinghe, MD
Title
President/Owner
Phone
(714) 774-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A33740 CA Primary

Addresses

Primary practice location

947 S Anaheim Blvd
Suite 240
Anaheim, CA 92805-5582

Mailing address

947 S Anaheim Blvd
Suite 240
Anaheim, CA 92805-5582
Phone (714) 774-8870

Other identifiers 3

IdentifierTypeStateIssuer
00A337401MedicaidCA
00A337400MedicaidCA
00A337402MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1679753347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD",
            "address_2": "SUITE 240",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055582",
            "telephone_number": "714-774-8870",
            "fax_number": "714-635-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD",
            "address_2": "SUITE 240",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055582",
            "telephone_number": "714-774-8870",
            "fax_number": "714-635-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDI WIJESINGHE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "WIJESINGHE",
        "authorized_official_first_name": "MAPITIYAGE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-774-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A33740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A337401",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A337400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A337402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.