| Sam Ratnayake, M.d., Inc | |
|
6001 Truxtun Ave B Ste 240 Bakersfield CA 93309-0679 | |
| (661) 377-3777 | |
| (661) 377-3778 |
| Full Name | Sam Ratnayake, M.d., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6001 Truxtun Ave, Bakersfield, California |
| Authorized Official Name and Position | Sam N Ratnayake (PRESIDENT/OWNER) |
| Authorized Official Contact | 6613773777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Ratnayake, M.d., Inc 6001 Truxtun Ave Ste 200 Bakersfield CA 93309-0662 Ph: (661) 377-3777 | Sam Ratnayake, M.d., Inc 6001 Truxtun Ave B Ste 240 Bakersfield CA 93309-0679 Ph: (661) 377-3777 |
| NPI Number | 1851539761 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 10/28/2022 |
| Medicare PECOS PAC ID | 6002970373 |
|---|---|
| Medicare Enrollment ID | O20090130000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851539761 | NPI | - | NPPES |
| 00A563631 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Saman Ratnayake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962506469 PECOS PAC ID: 9931019957 Enrollment ID: I20040722000762 |
| Provider Name | Kristin R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194865535 PECOS PAC ID: 3274625595 Enrollment ID: I20070816000358 |
| Provider Name | Samantha N Ratnayake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285261032 PECOS PAC ID: 7416302799 Enrollment ID: I20231128003838 |
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