Individual provider Active NPI

George M Jayatilaka, M.D.

  • General Practice Physician
  • Long Beach, CA
National Provider Identifier
1841361334
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A26403 Issued in CA
Practice address
1045 Atlantic Ave Ste 818
Long Beach, CA 90813-3410
Phone
(562) 436-8117
Fax
(562) 432-2777
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A26403 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave Ste 818
Long Beach, CA 90813-3410

Mailing address

1045 Atlantic Ave Ste 818
Long Beach, CA 90813-3410
Phone (562) 436-8117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000098 CA Practitioner - Pediatric MedicinePractitioner - General Practice 6002978806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George M. Jayatilaka, MD IncGroup PAC ID 5799849253, 2 clinicians

Practice addresses (Care Compare)

1045 Atlantic Ave
Suite 818
Long Beach, CA 90813-3410
Phone (562) 436-8117

1760 Termino Ave
Suite 116
Long Beach, CA 90804-2151

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26403CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George M. Jayatilaka, MD Inc Legal Medicine CurrentSince Jul 2, 2019 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

1760 Termino Ave
Ste 116
Long Beach, CA 90804
Phone (562) 436-8117

1045 Atlantic Ave
Ste 818
Long Beach, CA 90813
Phone (562) 436-8117

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1841361334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 818",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133410",
            "telephone_number": "562-436-8117",
            "fax_number": "562-432-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 818",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133410",
            "telephone_number": "562-436-8117",
            "fax_number": "562-432-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYATILAKA",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A26403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.