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GEORGE M. JAYATILAKA, MD INC
NPI 1437325404
Legal Medicine in Long Beach, CA

Active since April 30, 2008CLIA 05D0683982 · Waiver
1045 ATLANTIC AVE, SUITE 818, LONG BEACH, CA 90813(562) 436-8117(562) 432-2777 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About George M. Jayatilaka, Md Inc NPPES

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

GEORGE M. JAYATILAKA, MD INC (NPI 1437325404) is a healthcare organization registered as a legal medicine in Long Beach, California and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Maria Samala, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1437325404
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameGEORGE M. JAYATILAKA, MD INC
Location Address1045 ATLANTIC AVE, SUITE 818Long Beach, CA 90813-3408
Mailing Address1045 Atlantic Ave, Suite 818Long Beach, CA 90813-3408 · (562) 436-8117 · Fax (562) 432-2777
Phone(562) 436-8117
Fax(562) 432-2777
Organization SubpartNo
Authorized OfficialMaria SamalaBusiness Manager · (562) 436-8117
Enumeration DateApril 30, 2008
Last NPPES UpdateJanuary 14, 2014
✔ NPI 1437325404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
1045 ATLANTIC AVE, Long Beach, CA 90813
Open in Google Maps ↗

Other Identifiers 1

MedicaidZZZ78614ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George M. Jayatilaka, Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to George M. Jayatilaka, MD Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Emmanuel Devera, M.D.
General Practice
NPI 1114095726
1045 ATLANTIC AVE STE 818
Long Beach, CA 90813
(562) 436-8117
✔ PECOS✔ Accepts MedicareSame address
George Jayatilaka, M.D.
Pediatric Medicine
NPI 1841361334
1045 ATLANTIC AVE STE 818
Long Beach, CA 90813
(562) 436-8117
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0683982

George M Jayatilaka MD · Long Beach, CA
Active · expires Mar 14, 2027
CLIA Number05D0683982
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorGeorge M. Jayatilaka MD
Laboratory Phone(310) 436-8117
Laboratory LocationGeorge M Jayatilaka MD1045 Atlantic Avenue 818, Long Beach, CA 90813
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 George M. Jayatilaka, MD Inc's NPI number?

The NPI number for George M. Jayatilaka, MD Inc is 1437325404. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is George M. Jayatilaka, MD Inc located?

George M. Jayatilaka, MD Inc is located at 1045 Atlantic Ave Suite 818, Long Beach, CA 90813. The listed phone number is (562) 436-8117.

What is George M. Jayatilaka, MD Inc's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is George M. Jayatilaka, MD Inc enrolled in Medicare?

Yes. George M. Jayatilaka, MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through George M. Jayatilaka, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to George M. Jayatilaka, MD Inc, in General Practice and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does George M. Jayatilaka, MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0683982) is associated with this NPI, valid through March 14, 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 George M. Jayatilaka, MD Inc was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.