Active NPI
Mapitiyage N Wijesinghe, M.D.
- Obstetrics Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- A33740
- Practice address
- 174 W Lincoln Ave
Suite 582
Anaheim, CA 92805-2901 - Phone
- (714) 470-3260
- NPI assigned
- May 31, 2005
- Reactivated
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | A33740 | CA | Primary |
Addresses
Primary practice location
174 W Lincoln Ave
Suite 582
Anaheim, CA 92805-2901
Mailing address
174 W Lincoln Ave
Suite 582
Anaheim, CA 92805-2901
Phone (714) 470-3260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A337402 | Medicaid | CA | |
| 00A337401 | Medicaid | CO | |
| 00A337400 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051018001014 | CA | Practitioner - General Surgery | 1557387669 | Practice locations: Anaheim, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1211 W la Palma Ave
Suite 101
Anaheim, CA 92801-2809
Phone (714) 470-3260
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 25 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33740 | CA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Global Medical Center, Inc | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Anaheim Global Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AHMC Anaheim Regional Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1891938122
-
dba Orange County Global Medical Center
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393632000000",
"number": "1922001346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 W LINCOLN AVE",
"address_2": "SUITE 582",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052901",
"telephone_number": "714-470-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 W LINCOLN AVE",
"address_2": "SUITE 582",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052901",
"telephone_number": "714-470-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIJESINGHE",
"first_name": "MAPITIYAGE",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2014-03-01",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A33740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A337402",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A337401",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A337400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.