Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MOHAN PRIYAKANTHA KUMARATNE M.D.
NPI 1104881523
Pediatrics - Adolescent Medicine in Huntington Beach, CA

Active since April 19, 2006CLIA 05D0907670 · Waiver
17692 BEACH BLVD, STE. 200, HUNTINGTON BEACH, CA 92647(714) 847-6975(714) 847-9727 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mohan Priyakantha Kumaratne M.d. NPPES

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

DR. MOHAN PRIYAKANTHA KUMARATNE M.D. (NPI 1104881523) is an individual adolescent medicine provider in Huntington Beach, California, licensed in California (A35327) and active in the NPI registry since April 2006. He holds a CLIA Waiver certificate valid through October 17, 2027.

NPPES Registry Identity

NPI1104881523
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MOHAN PRIYAKANTHA KUMARATNECredential: M.D.
Location Address17692 BEACH BLVD, STE. 200Huntington Beach, CA 92647-6837
Mailing Address17692 Beach Blvd, Ste. 200Huntington Beach, CA 92647-6837 · (714) 847-6975 · Fax (714) 847-9727
Fax(714) 847-9727
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1104881523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · A35327
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
17692 BEACH BLVD, Huntington Beach, CA 92647

Other Names 1

Other Name (5)Dr. Mohan Priyakantha Kumararatne M.d.

Other Identifiers 1

Medicaid00A353270CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0907670

Mohan P Kumaratne, MD · Huntington Beach, CA
Active · expires Oct 17, 2027
CLIA Number05D0907670
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorMohan P. Kumaratne
Laboratory Phone(714) 847-6975
Laboratory LocationMohan P Kumaratne, MD17692 Beach Blvd, Ste 200, Huntington Beach, CA 92647
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology
17692 BEACH BLVD, SUITE 305
HUNTINGTON BEACH, CA 92647
Dentist (General Practice)
17692 BEACH BLVD, SUITE # 205
HUNTINGTON BEACH, CA 92647
Dentist (General Practice)
17692 BEACH BLVD, 310
HUNTINGTON BEACH, CA 92647
Dentist
17692 BEACH BLVD, #310
HUNTINGTON BEACH, CA 92647
Dentist (Pediatric Dentistry)
17692 BEACH BLVD, SUITE 303
HUNTINGTON BEACH, CA 92647

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 Mohan Kumaratne's NPI number?

The NPI number for Mohan Kumaratne is 1104881523. It was assigned to this individual provider in the NPPES registry on April 19, 2006. The provider is also known as Dr. Mohan Priyakantha Kumararatne M.D..

Where is Mohan Kumaratne located?

Mohan Kumaratne practices at 17692 Beach Blvd Ste. 200, Huntington Beach, CA 92647. The listed phone number is (714) 847-6975.

What is Mohan Kumaratne's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Mohan Kumaratne hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0907670) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mohan Kumaratne was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.