Individual provider Active NPI

Vijay Chandran, MD,RN,MBA.;

  • Psychiatry Physician
  • Santa Ana, CA
National Provider Identifier
1801283692
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A171281 Issued in CA
Practice address
1030 W Warner Ave
Santa Ana, CA 92707-3147
Phone
(213) 422-5483
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X A171281 CA
Psychiatry Physician 2084P0800X A171281 CA Primary

Addresses

Primary practice location

1030 W Warner Ave
Santa Ana, CA 92707-3147

Mailing address

1308 E Colorado Blvd Ste 2079
Pasadena, CA 91106-1932
Phone (213) 422-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402002114 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 5193189405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5675 W Olympic Blvd
Los Angeles, CA 90036-4712
Phone (213) 422-6853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Registered Nurse

State licenses

LicenseStateTypeSpecialty
A171281CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scintadel Healthcare, Inc. Psychiatry CurrentSince May 26, 2024 Accepting new patients
Alliance for Wellness, Inc. Psychiatry CurrentSince Apr 24, 2024 Accepting new patients
Liberty Psychiatry and Mental Health a Professional Nursing Corp CurrentSince Jan 15, 2024 Accepting new patients
Tamika Henry MD Inc General Practice PastSince Jan 7, 2025 Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

5675 W Olympic Blvd
Los Angeles, CA 90036
Phone (323) 965-1365

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

1308 E Colorado Blvd
Pasadena, CA 91106
Phone (310) 237-8205

6833 Indiana Ave
Ste 208
Riverside, CA 92506
Phone (888) 608-5134

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1801283692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E COLORADO BLVD STE 2079",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061932",
            "telephone_number": "213-422-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W WARNER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073147",
            "telephone_number": "213-422-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "VIJAY",
        "credential": "MD,RN,MBA.;",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A171281",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A171281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.