1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Physician Assistant
  6. NPI Profile

LAKMALI KODITUWAKKU-COORAY PA-C
NPI 1194029629
Physician Assistant in Long Beach, CA

Active since December 23, 2010PECOS Enrolled
455 W WILLOW ST, LONG BEACH, CA 90806(562) 427-1700 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakmali Kodituwakku-cooray Pa-c NPPES

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

LAKMALI KODITUWAKKU-COORAY PA-C (NPI 1194029629) is an individual physician assistant in Long Beach, California, licensed in California (PA21327) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194029629
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAKMALI KODITUWAKKU-COORAYCredential: PA-C
Location Address455 W WILLOW STLong Beach, CA 90806-2843
Mailing Address6609 Van Nuys Blvd Ste 201-aVan Nuys, CA 91405-4618 · (818) 812-5410
Phone(562) 427-1700
Sole ProprietorNo
Enumeration DateDecember 23, 2010
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1194029629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA21327
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.
455 W WILLOW ST, Long Beach, CA 90806
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakmali Kodituwakku-cooray Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

JORGE ARTURO PICO MD
Family Medicine
455 W WILLOW ST
LONG BEACH, CA 90806
Los Angeles County (562) 427-1700
CENTER FOR FAMILY HEALTH AND EDUCATION INC
Clinic/Center (Federally Qualified Health Center (FQHC))
455 W WILLOW ST
LONG BEACH, CA 90806
Los Angeles County (562) 427-1700
CHESLEA LEANNE COOPER-SANTOS
Physician Assistant
455 W WILLOW ST
LONG BEACH, CA 90806
Los Angeles County (562) 427-1700
JOSELINE MEJIA
Marriage & Family Therapist
455 W WILLOW ST
LONG BEACH, CA 90806
Los Angeles County (562) 427-1700

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 Lakmali Kodituwakku-cooray's NPI number?

The NPI number for Lakmali Kodituwakku-cooray is 1194029629. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Where is Lakmali Kodituwakku-cooray located?

Lakmali Kodituwakku-cooray practices at 455 W Willow St, Long Beach, CA 90806. The listed phone number is (562) 427-1700.

What is Lakmali Kodituwakku-cooray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lakmali Kodituwakku-cooray enrolled in Medicare?

Yes. Lakmali Kodituwakku-cooray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lakmali Kodituwakku-cooray was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.