Sisira Gunawardane MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A50919 Issued in CA

Legal business name

SISIRA GUNAWARDANE MD INC

Doing business as

Family Medical Center of West Covina

Practice address

333 No Sunset Ave
West Covina, CA 91790

Phone

(626) 960-5461

Fax

(626) 962-7199

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Hemalatha R Parekh, MD

Title

Associate

Phone

(626) 960-5461

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Family Medical Center of West Covina Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sisira Gunawardane, M.D.

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1992994826
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902951601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NO SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-5461",
            "fax_number": "626-962-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NO SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-5461",
            "fax_number": "626-962-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISIRA GUNAWARDANE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "HEMALATHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "626-960-5461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33761",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A50919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0095500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center of West Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley Clark Simonian, PHARMD
• Deshawn Sinclair
• Bruce David Sindel, MD
• Maninder Singh, DDS
• Prabhpreet Singh, MD
• Sisira Gunawardane MD Inc
• Maria Lucila Sison Llanes, M.D.
• Davis Sison
• Graciela Skibar, LVN
• Sky Neak Pharmacy Inc.

• General Practice Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.