Active NPI
Nandi Wijesinghe, M.D., Inc
- Obstetrics & Gynecology Physician
- Anaheim, CA
National Provider Identifier
1679753347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A33740
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A337401 | Medicaid | CA | |
| 00A337400 | Medicaid | CA | |
| 00A337402 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.