Vijay Shanmugam M D Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A66787 Issued in CA

Legal business name

VIJAY SHANMUGAM M D INC

Practice address

44215 N 15TH St West
Ste 204
Lancaster, CA 93534-5504

Phone

(661) 726-9220

Fax

(661) 726-0240

NPI assigned

Jul 18, 2015

Organization subpart

No

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

Authorized official

Name

Malavika Vijay

Title

Office Manager

Phone

(661) 726-9220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijay Shanmugam, M.D.

  • Neurology Physician
  • Lancaster, CA
  • NPI 1174576839
  Medicare reassignment Care Compare group
• Kruthika Shanmugam, M.D.

  • Neurology Physician
  • Berkley, MI
  • NPI 1811349822

  CA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1255715397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 N 15TH ST WEST",
            "address_2": "STE 204",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345504",
            "telephone_number": "661-726-9220",
            "fax_number": "661-726-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 N 15TH ST WEST",
            "address_2": "STE 204",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345504",
            "telephone_number": "661-726-9220",
            "fax_number": "661-726-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY SHANMUGAM M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "VIJAY",
        "authorized_official_first_name": "MALAVIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-726-9220"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A66787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A667870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Lisbeeth Vidal Guzman
• Cynthia Vidal-Guzman, BCBA
• Corrina Vidarte
• Lina Vielma
• Marisol Vigil
• Efren Villa, RN
• Ruben Alfonso Villa
• Vanessa Nicole Villa
• Cristian Villacreses, MS
• Mayra Villagomez, FNP-BC

• Neurology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.