DR. AMILA VIMARA NISSANKA MD
NPI 1073023594
Family Medicine in Laguna Beach, CA

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment
303 BROADWAY ST STE 103, LAGUNA BEACH, CA 92651(949) 665-6000(949) 670-4967 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2023, Dec 17, 2021, Aug 9, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Amila Vimara Nissanka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMILA VIMARA NISSANKA MD (NPI 1073023594) is an individual family medicine provider in Laguna Beach, California, licensed in California (A174462) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073023594
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AMILA VIMARA NISSANKACredential: MD
Location Address303 BROADWAY ST STE 103Laguna Beach, CA 92651-1816
Mailing Address20 Via LomaLaguna Niguel, CA 92677-5148 · (949) 416-6267
Fax(949) 670-4967
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 10, 2017
Last NPPES UpdateMay 4, 20234 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
NPI 1073023594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A174462 Licensed in IL · 125071582 Licensed in IL · 036.157093 Licensed in WI · 74854-20 Licensed in AZ · 63792 Licensed in AL · 45836
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License 125071582 (IL)
303 BROADWAY ST STE 103, Laguna Beach, CA 92651

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Amila Vimara Nissanka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547504995
PECOS Enrollment IDI20211210001837
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
296 services296 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
267 services158 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
194 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
179 services113 patients
Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807
This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.
82 services75 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
81 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92651 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
303 BROADWAY ST STE 103
LAGUNA BEACH, CA 92651
Clinic/Center
303 BROADWAY ST STE 103
LAGUNA BEACH, CA 92651
Clinic/Center
303 BROADWAY ST STE 103
LAGUNA BEACH, CA 92651
Family Medicine
303 BROADWAY ST STE 103
LAGUNA BEACH, CA 92651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amila Nissanka's NPI number?

The NPI number for Amila Nissanka is 1073023594. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Amila Nissanka located?

Amila Nissanka practices at 303 Broadway St Ste 103, Laguna Beach, CA 92651. The listed phone number is (949) 665-6000.

What is Amila Nissanka's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amila Nissanka enrolled in Medicare?

Yes. Amila Nissanka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amila Nissanka was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.