MR. UDARA SAMARASINGHE


Address: 1805 Medical Center Dr, San Bernardino, CA 92411
Phone: 9098876333

MR. UDARA SAMARASINGHE (NPI# 1427427715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427427715
Entity Type Individual
Full Name MR. UDARA SAMARASINGHE
Credential PA-C
Practice Address 1805 Medical Center Dr
San Bernardino
CA 92411
Mailing Address 1805 Medical Center Dr
San Bernardino
CA 92411-1217
Practice Telephone 9098876333
Enumeration Date 2015-09-17
Last Update Date 2018-05-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 52861 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
12601 Garden Grove Blvd, Garden Grove, CA 928431908 7145375160

Office Location

Street Address 1805 MEDICAL CENTER DR
City SAN BERNARDINO
State CA
Zip Code 92411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952306136 Renaissance Radiology Medical Group, Inc. Radiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2005-06-15
1356973747 Cep America - Neurology PC Psychiatry & Neurology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2020-02-04
1750875266 Michelle Karoline Fischer Dietitian, Registered 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2018-06-18
1083128839 Southland Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2017-11-30
1902275639 James E Hill Physician Assistant 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2015-09-23
1841623238 Jonathan Angel Lozano Physician Assistant 1805 Medical Center Dr, Attention Er Dept, San Bernardino, CA 92411-1217 2013-08-20
1538401856 Theresa Win Internal Medicine 1805 Medical Center Dr, San Bernardino, CA 92411 2013-03-25
1134470446 Jillian Allard Physician Assistant 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2012-09-26
1770860587 Keyes Medical Services A Professional Corporation Anesthesiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2011-11-08
1215217088 Cep America - California Emergency Medicine 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2011-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619537016 Shaunice Renee Cox Case Manager/Care Coordinator 1604 Pennsylvania Street, San Bernardino, CA 92411 2019-06-18
1104327543 Wilson Gomer M.d. Professional Medical Corporation Clinic/Center 1800 Western Ave Ste 103, San Bernardino, CA 92411 2018-02-21
1467883504 Pedro Lynn Hayes Nurse Practitioner 1800 Medical Center Dr. #99, San Bernardono, CA 92411 2013-11-27
1184973505 Maria G Villasenor Perez Social Worker 1002 W 7th St, San Bernardino, CA 92411 2012-08-30
1003140948 Joe Mawad Obstetrics & Gynecology 1800 Western Ave Ste 204, San Bernardino, CA 92411 2009-09-24
1124255146 Angie Bagheri Cook Pediatrics 565 N. Mount Vernon Ave, San Bernardino, CA 92411 2009-06-17
1770637365 Paul Anthony Tenette Pharmacist Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 2007-01-22
1225117328 Vinod Kumar Kaura Internal Medicine 1800 N Western Ave #303, San Bernardino, CA 92411 2006-11-02
1861582314 Cecilia Talpa Quinones Physician Assistant 565 N. Mount Vernon Ave., San Bernardino, CA 92411 2006-10-13
1710075247 Bramara Arya Pediatrics 1505 W. 17th Street, San Bernardino, CA 92411 2006-10-10
Find all providers in zip 92411

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740849363 Danniella Alexandra Murillo Physician Assistant 2101 North Waterman Ave, San Bernardino, CA 92404 2019-06-07
1265828370 Tammy Darby Physician Assistant 1918 Business Center Dr Ste 110, San Bernardino, CA 92408-3471 2015-04-15
1275971079 Brian K Jarman Physician Assistant 4905 N Berkeley Ave, San Bernardino, CA 92407-3015 2013-06-13
1437402765 John Finley Physician Assistant 4378 Sepulveda Ave, Apt 11, San Bernardino, CA 92404-1274 2012-10-24
1275813370 Daniel Kim Physician Assistant 1505 W. 17th St, San Bernardino, CA 92411-2661 2011-08-19
1417259268 Elda Ilia Physician Assistant 1800 Medical Center Dr Ste 99, San Bernardino, CA 92411-1232 2010-11-30
1336396548 Brenitta Gilliam-udo Physician Assistant 351 N Mountain View Ave, San Bernardino, CA 92415-1018 2008-08-20
1285806794 Miguel Trujillo Physician Assistant 685 Carnegie Dr Ste 230, San Bernardino, CA 92408-3583 2008-03-25
1629146881 Lorelie Tolentino Physician Assistant 1873 Commercenter West, San Bernardino, CA 92408 2006-12-04
1861582314 Cecilia Talpa Quinones Physician Assistant 565 N. Mount Vernon Ave., San Bernardino, CA 92411 2006-10-13
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92411

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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