NPIMap

Individual provider Active NPI

Dilan Samarawickrama, M.D.

  • Diagnostic Radiology Physician
  • Redding, CA
National Provider Identifier
1811214257
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A114890 Issued in CA
Practice address
2020 Court St
Redding, CA 96001-1822
Phone
(530) 243-1236
Fax
(530) 243-8161
NPI assigned
Apr 26, 2010
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A114890 CA Primary

Addresses

Primary practice location

2020 Court St
Redding, CA 96001-1822

Mailing address

PO Box 492080
Redding, CA 96049-2080
Phone (530) 243-1236

Other identifiers 2

IdentifierTypeStateIssuer
CA165494OtherCAMEDICARE PTAN
CA165501OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909000534 CA Practitioner - Diagnostic Radiology 5193031060 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians

Practice addresses (Care Compare)

308 16TH St
Apt 8
Huntington Beach, CA 92648-4275
Phone (501) 224-1690

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114890CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Medical Doctors Imaging Inc a Medical Group Diagnostic Radiology CurrentSince Sep 8, 2015 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Regional Radiological Associates, Inc. a Medical Group Diagnostic Radiology CurrentSince Sep 8, 2015 Accepting new patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Jun 8, 2025 Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

500 S University Ave
Ste 600
Little Rock, AR 72205
Phone (501) 686-2688

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

Organizations & group practices 6

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1811214257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492080",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492080",
            "telephone_number": "530-243-1236",
            "fax_number": "530-243-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011822",
            "telephone_number": "530-243-1236",
            "fax_number": "530-243-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARAWICKRAMA",
        "first_name": "DILAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A114890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA165494",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA165501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.