Provider Type Icon

JANESRI DE SILVA MD A PROF CORP NPI 1114253671


NPI Information

NPI: 1114253671
Provider Name: JANESRI DE SILVA, MD A PROF CORP

Doing Business As: KIDS & TEENS MEDICAL GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
15211 VANOWEN ST
SUITE 102
VAN NUYS, CA
ZIP 91405
Phone: (818) 782-7600
Get Directions

JANESRI DE SILVA, MD A PROF CORP is a pediatrics in Van Nuys, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JANESRI DE SILVA, MD A PROF CORP NPI is 1114253671. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kids & Teens Medical Group.

The provider's business location address is:

15211 VANOWEN ST
SUITE 102
VAN NUYS, CA
ZIP 91405-606
Phone: (818) 782-7600
Fax: (818) 782-9077

The provider's authorized official is Janesri Wijayangani De Silva .
The authorized official title is President and has the following contact phone number (818) 782-7600.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 10/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineA88991CALIFORNIANo
2208000000XPediatricsA88991CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A889910MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.