Sanjeewa Kolitha Weerasinghe, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

284394 Issued in CA

Practice address

33952 Lily Rd
Yucaipa, CA 92399-2290

Phone

(909) 499-4422

NPI assigned

Dec 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1972109775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33952 LILY RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992290",
            "telephone_number": "909-499-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33952 LILY RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992290",
            "telephone_number": "909-499-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEERASINGHE",
        "first_name": "SANJEEWA",
        "middle_name": "KOLITHA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "284394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Yucaipa",
            "affiliation": "N",
            "address_1": "33952 Lily Rd",
            "city": "Yucaipa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923992290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Yucaipa",
            "affiliation": "N",
            "address_1": "33952 Lily Rd",
            "city": "Yucaipa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923992290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Dustin Ware, PA
• James Andrew Washington III, M.D.
• Wayne L Dorothy DPM Inc
• John Webster, LMT
• Maryann Wells, RN
• Western Dental Services, Inc.
• Dan Arthur Wethey, DC
• Tyler Whitcomb, DPT
• Sarah Whitley, M.S., CCC-SLP

• Licensed Vocational Nurse in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.