TANYA NANAYAKKARA (M.D.) – Family Medicine Physician, NPI 1255644100

TANYA NANAYAKKARA (M.D.) is a healthcare provider. based in Ontario, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. C165533 (CA). The NPI Number for TANYA NANAYAKKARA (M.D.) is 1255644100

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
TANYA NANAYAKKARA (M.D.)
NPI
1255644100
Phone
Not provided
Address
3200 E GUASTI RD STE 200
Enumeration Date
21 July 2010
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9517371454
Graduation Year
2003 (23 years ago)
PAC ID
9133446263
Group Practice PAC ID
0446329932
Professional Enrollment ID
I20200107002302
Address ID
CA928822538CO2250XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for TANYA NANAYAKKARA (M.D.)

  • 3200 E GUASTI RD STE 200

    ONTARIO, CA 917618661

    Phone:

    Type: Mailing

  • 1901 TOWN AND COUNTRY DR STE 104

    NORCO, CA 928603611

    Phone:

    Type: Mailing

  • 2250 S MAIN ST STE 104

    CORONA, CA 928822538

    Phone: (951) 737-1454

    Fax: (951) 737-1822

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,279.

Total Amount is formed as General ($1,279) + Research ($0) + Ownership ($0) = $1,279.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Access Pro Medical, LLC ($146).

Total Amount

$1,279

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150328000140IFamily PracticeNYTBD
I20200107002302IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes288145$0
99214Established patient office or other outpatient visit, 30-39 minutes15392$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9898$0
96372Injection of drug or substance under skin or into muscle8619$0
G0442Annual alcohol misuse screening, 5 to 15 minutes5959$0
View full utilization report →

Insurance plans in this area (ZIP 91761)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446329932View full group profile
NameSpecialtyState
-CA
Family PracticeIL
Family PracticeCA
General SurgeryCA
Internal MedicineCA
Family PracticeCA
Family PracticeCA
Internal Medicine, General PracticeCA
Family PracticeCA
Internal MedicineCA

Reviews

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Frequently asked questions

Can I verify TANYA NANAYAKKARA (M.D.) with an NPI only?
You can start verification with NPI 1255644100 for TANYA NANAYAKKARA (M.D.), then check state licensing separately.
Is TANYA NANAYAKKARA (M.D.) still practicing?
TANYA NANAYAKKARA (M.D.) is currently listed as active in the public NPI registry.
What is TANYA NANAYAKKARA (M.D.) best known for clinically?
Directory data describes TANYA NANAYAKKARA (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does TANYA NANAYAKKARA (M.D.) serve?
TANYA NANAYAKKARA (M.D.)'s listing highlights Ontario, California; more addresses can appear in NPPES.
Is the information about TANYA NANAYAKKARA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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