DR. VIJAY MANDYAM
NPI 1619456704
Podiatrist in Lancaster, CA

Active since August 09, 2018
43713 20TH ST W STE 5, LANCASTER, CA 93534(661) 945-8700(661) 945-8757 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vijay Mandyam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIJAY MANDYAM (NPI 1619456704) is a healthcare organization registered as a podiatrist in Lancaster, California and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Northridge and lists Vijay Mandyam, Owner, as its authorized official.

NPPES Registry Identity

NPI1619456704
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDR. VIJAY MANDYAM
Location Address43713 20TH ST W STE 5Lancaster, CA 93534-4628
Mailing Address43713 20th St W Ste 5Lancaster, CA 93534-4628 · (661) 945-8700 · Fax (661) 945-8757
Fax(661) 945-8757
Organization SubpartNo
Authorized OfficialVijay MandyamOwner · (818) 599-3997
Enumeration DateAugust 9, 2018
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
NPI 1619456704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
43713 20TH ST W STE 5, Lancaster, CA 93534

Secondary Practice Location 1

Location 118856 Roscoe Blvd Ste BNorthridge, CA 91324-6301 · Phone (818) 904-3338 · Fax (661) 945-8757

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
43713 20TH ST W STE 5
LANCASTER, CA 93534
Podiatrist
43713 20TH ST W STE 5
LANCASTER, CA 93534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Vijay Mandyam's NPI number?

The NPI number for Dr. Vijay Mandyam is 1619456704. It was assigned to this organization in the NPPES registry on August 9, 2018.

Where is Dr. Vijay Mandyam located?

Dr. Vijay Mandyam is located at 43713 20th St W Ste 5, Lancaster, CA 93534. The listed phone number is (661) 945-8700.

What is Dr. Vijay Mandyam's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Dr. Vijay Mandyam was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.