Malayattil Vijayalakshmi, M.D

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A80745 Issued in CA

Practice address

3325 Palo Verde Ave
Suite 203
Long Beach, CA 90808-4132

Phone

(562) 421-8283

Fax

(562) 420-8681

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sushil Anand & Associates Medical Corp

  • Pediatrics Physician
  • Corona, CA
  • NPI 1356923023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033208160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 FARQUHAR AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202018",
            "telephone_number": "562-421-8283",
            "fax_number": "562-420-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE",
            "address_2": "SUITE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-421-8283",
            "fax_number": "562-420-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYALAKSHMI",
        "first_name": "MALAYATTIL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A80745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Vigie
• Venessa D Vigil, O.T.
• Tammy Vigneault
• Vihar Pravin Bhakta Dental Corporation
• Talitha Viillegas
• Viken Konyalian MD Inc
• Jasmin Vilchis
• Villa Camilla LLC
• Villa de la Mar Inc
• Villa Redondo Care Home Inc

• Pediatric Adolescent Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.