Healthcare Provider Details

I. General information

NPI: 1487848628
Provider Name (Legal Business Name): COMPASSIONATE DOCTORS MED CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 PELICAN BAY CIR
SACRAMENTO CA
95835-2146
US

IV. Provider business mailing address

351 PELICAN BAY CIR
SACRAMENTO CA
95835-2146
US

V. Phone/Fax

Practice location:
  • Phone: 760-383-3040
  • Fax:
Mailing address:
  • Phone: 760-383-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA061625
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA061625
License Number StateCA

VIII. Authorized Official

Name: DR. IRESHA GOONESINGHE
Title or Position: CEO
Credential: MD
Phone: 760-383-3040