Valleyfootdoctor, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

VALLEYFOOTDOCTOR, INC

Practice address

43713 20TH St W Ste 5
Lancaster, CA 93534-4628

Phone

(661) 945-8700

Fax

(661) 945-8757

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Mandyam, DPMNPI 1174618672

Title

Owner

Phone

(661) 945-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Vijay Mandyam, DPM

  • Podiatrist
  • Lancaster, CA
  • NPI 1174618672
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1427819820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43713 20TH ST W STE 5",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344628",
            "telephone_number": "661-945-8700",
            "fax_number": "661-945-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43713 20TH ST W STE 5",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344628",
            "telephone_number": "661-945-8700",
            "fax_number": "661-945-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYFOOTDOCTOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "MANDYAM",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-945-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violeta Vallejo-Sinavsky, M.D.
• Valley Foot & Ankle Center Inc.
• Valley Heights Residential Care, LLC
• Valley Infant Pediatric & Complete Family Care
• Valley Institute of Prosthetics & Orthotics, Inc
• Enrique Hugo Vallota, M.D.
• Susan Y Vanallen, LCSW
• Geralyn Ann Vander Vis, RD
• Julian Blake Vanderlinden, PT
• Gail Denise Vanetten

• Podiatrist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.