Provider Demographics
NPI:1568502953
Name:DE SILVA, JANESRI W (MD)
Entity Type:Individual
Prefix:DR
First Name:JANESRI
Middle Name:W
Last Name:DE SILVA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:18543 DEVONSHIRE ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1308
Mailing Address - Country:US
Mailing Address - Phone:818-361-5437
Mailing Address - Fax:818-361-5695
Practice Address - Street 1:10550 SEPULVEDA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1934
Practice Address - Country:US
Practice Address - Phone:818-361-5437
Practice Address - Fax:818-361-5695
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2011-01-17
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Provider Licenses
StateLicense IDTaxonomies
CAA88991208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A889910Medicaid