Individual provider Active NPI

Deborah Rajeeni Rajapakse, RNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Corona, CA
National Provider Identifier
1962849471
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
543525 Issued in CA
Practice address
4152 Anise Cir
Corona, CA 92883-0791
Phone
(213) 716-8295
NPI assigned
May 24, 2013
Last updated
May 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 543525 CA Primary

Addresses

Primary practice location

4152 Anise Cir
Corona, CA 92883-0791

Mailing address

4152 Anise Cir
Corona, CA 92883-0791
Phone (213) 716-8295

Other identifiers 1

IdentifierTypeStateIssuer
NPF12366OtherCACALIFORNIA BOARD OF REGISTERED NURSING

Other names 1

  • Mrs. Deborah Rajeeni Rajapakse-Smith Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
543525CAMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1962849471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 ANISE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830791",
            "telephone_number": "213-716-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 ANISE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830791",
            "telephone_number": "213-716-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAPAKSE",
        "first_name": "DEBORAH",
        "middle_name": "RAJEENI",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "543525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "NPF12366",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "RAJAPAKSE-SMITH",
            "middle_name": "RAJEENI",
            "prefix": "MRS.",
            "credential": "RNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

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