Organization Active NPI

R. Nihal Goonetilleke Inc.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
National Provider Identifier
1992979702
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A32430 Issued in CA
Legal business name
R. NIHAL GOONETILLEKE INC.
Practice address
999 N. Tustin Ave.
224
Santa Ana, CA 92705-6506
Phone
(714) 973-8522
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Ranjit Nihal Goonetilleke, M.D.
Title
Physician
Phone
(714) 973-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A32430 CA Primary

Addresses

Primary practice location

999 N. Tustin Ave.
224
Santa Ana, CA 92705-6506

Mailing address

999 N. Tustin Ave.
224
Santa Ana, CA 92705-6506
Phone (714) 973-8522

Other identifiers 1

IdentifierTypeStateIssuer
00A324300MedicaidCA

National Provider Directory

National Provider Directory

Locations

2740 S Bristol St
Ste 208
Santa Ana, CA 92704
Phone (714) 571-4941

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1992979702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N. TUSTIN AVE.",
            "address_2": "224",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056506",
            "telephone_number": "714-973-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N. TUSTIN AVE.",
            "address_2": "224",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056506",
            "telephone_number": "714-973-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. NIHAL GOONETILLEKE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "GOONETILLEKE",
        "authorized_official_first_name": "RANJIT",
        "authorized_official_middle_name": "NIHAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-973-8522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A32430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A324300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.