Dr. Vijay Mandyam

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DR. VIJAY MANDYAM

Practice address

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

Phone

(661) 945-8700

Fax

(661) 945-8757

NPI assigned

Aug 9, 2018

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

(818) 599-3997

Specialties & licenses 1

Addresses

Practitioners 2

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
  NPD Authorized official
• Harold Mark Wexler, D.C.

  • Chiropractor
  • Northridge, CA
  • NPI 1194904060
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1619456704",
    "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": [
        {
            "address_1": "18856 Roscoe Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913246301",
            "country_code": "US",
            "telephone_number": "818-904-3338",
            "fax_number": "661-945-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. VIJAY MANDYAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MANDYAM",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-599-3997",
        "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": []
}

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• 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 18, 2024; 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.