Sarath C Witana, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A050338 Issued in CA

Practice address

24060 Fir Ave
Suite a
Moreno Valley, CA 92553-2895

Phone

(951) 243-6460

Fax

(951) 243-5871

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sarath C Witana Medical Group Inc

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1568573160
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1801960646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24060 FIR AVE",
            "address_2": "SUITE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532895",
            "telephone_number": "951-243-6460",
            "fax_number": "951-243-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24060 FIR AVE",
            "address_2": "SUITE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532895",
            "telephone_number": "951-243-6460",
            "fax_number": "951-243-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITANA",
        "first_name": "SARATH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A050338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A503380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Delia Denise Winston, AMFT
• Donna Grace Wirth
• Devi Sophia Wise, LCSW
• Wisr Ministries Inc.
• Amir Wissa
• Robert Ray Witty, PA-C
• Gunnar Wolfe, MD
• Raquel Wolfe, MD
• Wolfpack ABA, LLC
• Hayley Womack

• Internal Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.