Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mithun N Medagangoda, DO

Individual provider Psychiatry Physician · NPI 1033748702

Mithun N Medagangoda, DO is a Psychiatry in Fresno, California. Qualified in 2020, 6 years ago. Practices with Alliance for Wellness Inc, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Phone: (559) 600-2382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 W Mineral King Ave, Visalia, CA 93291-6237 — (714) 318-2186

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A20946 (CA)

Record details

NPI number1033748702
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 5, 2020
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Alliance For Wellness Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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