Look up the most recent NPI and PECOS records

Ashley Suraweera

Internal Medicine

Allopathic & Osteopathic Physicians

1250 16th St # C2304, Santa Monica, CA 90404-1249

PECOS Enrollment

Based on the most recent information from CMS, provider Ashley Suraweera is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1437681046
Provider Type
Individual
Full Name
Suraweera, Ashley
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/2/2017
Last Updated
5/21/2021

Contact Information

Practice Location

1250 16th St # C2304, Santa Monica, CA 90404-1249

(310) 319-4698

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A158352 California
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License A158352 California

Ashley Suraweera

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Glazier, Eve Magdalen

Wei, Margaret

Simpler, Laura Diane

Conti, Nico

Carias, Edson Enrique

Westside Primary Care, Inc.

Kim, Gloria Sung

Tabet, Anthony Ryan

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Dieu, Holly