Active NPI
Vijayalakshmi Mandayam Ranganath, MD
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A29559
- Practice address
- 11601 S Western Ave
Los Angeles, CA 90047-5006 - Phone
- (323) 242-5000
- NPI assigned
- Nov 1, 2006
- Last updated
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A29559 | CA | |
| Psychiatry Physician | 2084P0800X | A29559 | CA | Primary |
Addresses
Primary practice location
11601 S Western Ave
Los Angeles, CA 90047-5006
Mailing address
11601 S Western Ave
Los Angeles, CA 90047-5006
Phone (323) 242-5000
Other practice location 1
5849 Crocker St Unit L
Los Angeles, CA 90003-1311
Phone (323) 234-4445
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A29559 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VRPS, TMS, a Professional Medical Corporation | Psychiatry | Current | Accepting new patients |
| Telemedicine Urgent Care Inc | Psychiatry | Past | Accepting new patients |
Locations
5475 E La Palma Ave
Ste 203
Anaheim, CA 92807
Phone (657) 656-5611
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Healing TMS Clinic
- Psychiatry Physician
- Anaheim, CA
- NPI 1962287516
-
dba A Better Way TMS
- Psychiatry Physician
- Huntington Beach, CA
- NPI 1386219558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1982782967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900475006",
"telephone_number": "323-242-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900475006",
"telephone_number": "323-242-5000"
}
],
"practiceLocations": [
{
"address_1": "5849 Crocker St Unit L",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900031311",
"country_code": "US",
"telephone_number": "323-234-4445",
"fax_number": "323-234-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANGANATH",
"first_name": "VIJAYALAKSHMI",
"middle_name": "MANDAYAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A29559",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A29559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.