NPIMap

Individual provider Active NPI

Walter Jayasinghe, M.D.

  • Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1831106665
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A26210 Issued in CA
Practice address
679 S Westlake Ave
Los Angeles, CA 90057-3505
Phone
(213) 413-4141
Fax
(213) 484-6280
NPI assigned
Aug 2, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X A26210 CA Primary
Plastic Surgery Physician 208200000X A26210 CA

Addresses

Primary practice location

679 S Westlake Ave
Los Angeles, CA 90057-3505

Mailing address

1930 Wilshire Blvd,
Suite 1100
Los Angeles, CA 90057-3605
Phone (213) 483-2620

Other identifiers 1

IdentifierTypeStateIssuer
00A262100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26210CAMDPlastic Surgery Physician
26210CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jayasinghe Medical Group Inc Current Accepting new patients
Jayasinghe Medical Group Inc Current Accepting new patients
Walter Jayasinghe MD, Apc PastSince Nov 1, 2020 Accepting new patients
Walt Jay Medical Corporation PastSince Sep 26, 2012 Accepting new patients

Locations

1930 Wilshire Blvd
Ste 1100
Los Angeles, CA 90057
Phone (213) 483-2620

319 N Soto St
Los Angeles, CA 90033
Phone (323) 266-2730

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1831106665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD,",
            "address_2": "SUITE 1100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-483-2620",
            "fax_number": "213-483-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 S WESTLAKE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573505",
            "telephone_number": "213-413-4141",
            "fax_number": "213-484-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASINGHE",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A26210",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A26210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A262100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.