Mahinda A Jayaratna, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A42511 Issued in CA

Practice address

4510 E Pacific Coast Hwy
Room 605
Long Beach, CA 90804-3279

Phone

(562) 346-1114

Fax

(562) 961-7606

NPI assigned

Jul 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1902836190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY",
            "address_2": "ROOM 605",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043279",
            "telephone_number": "562-346-1114",
            "fax_number": "562-961-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY",
            "address_2": "ROOM 605",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043279",
            "telephone_number": "562-346-1114",
            "fax_number": "562-961-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARATNA",
        "first_name": "MAHINDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A42511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Javier, RCP, RRT
• Kelly Javonillo
• Tammy Ann Javonillo, LICENSED PSYCH TECH
• John Bruce Jay, MAMFT
• Peter Dawson Jay, PH.D.
• Surani Amala Jayaratna
• George M Jayatilaka, M.D.
• Mahmood Jay Jazayeri, M D
• JB Pharmacy Inc (Pacific Plaza Pharmacy)
• JB Pharmacy Inc (Pacific Plaza Pharmacy)

• Psychiatry Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.