VIJAY SHANMUGAM M D INC (NPI# 1255715397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255715397 |
| Entity Type | Organization |
| Organization Name | VIJAY SHANMUGAM M D INC |
| Practice Address |
44215 N 15th St West Ste 204 Lancaster CA 93534-5504 |
| Practice Telephone | 6617269220 |
| Practice Fax Number | 6617260240 |
| Mailing Telephone | 6617269220 |
| Mailing Fax Number | 6617260240 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | MALAVIKA VIJAY (OFFICE MANAGER) |
| Authorized Official Telephone | 6617269220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A66787 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A667870 | 05 |
| Street Address |
44215 N 15TH ST WEST STE 204 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508246422 | Rachel Pan | Psychiatry & Neurology | 135 N Ewing St Ste 204, Lancaster, OH 43130-3378 | 2015-06-05 |
| 1134326697 | Gautam Kareti | Psychiatry & Neurology | 42135 10th St W Ste 301, Lancaster, CA 93534-6093 | 2007-06-28 |
| 1912926544 | Christie Williamson | Psychiatry & Neurology | 1906 Highway 521, Bypass S., Lancaster, SC 29730 | 2006-07-18 |
| 1558398115 | Ramanathan Prakash | Psychiatry & Neurology | 1011 E Avenue J, Lancaster, CA 93535-3839 | 2006-06-27 |
| 1801868153 | Robbie D Buechler | Psychiatry & Neurology | 834 W Meeting St Ste G, Lancaster, SC 29720-6249 | 2006-02-02 |
| 1982682670 | Yu-en Lee | Psychiatry & Neurology | 44902 10th St W, Lancaster, CA 93534-2314 | 2006-01-04 |
| 1528065729 | Roderick Edward Hines | Psychiatry & Neurology | 2150 Harrisburg Pike Ste 200a, Lancaster, PA 17601-2644 | 2005-07-01 |
| 1801899075 | James M Parker | Psychiatry & Neurology | 401 N Ewing St, Lancaster, OH 43130-3372 | 2005-05-23 |
| 1710596226 | Medical University Hospital Authority | Psychiatry & Neurology | 834 W Meeting St Ste G, Lancaster, SC 29720-6249 | 2020-07-30 |
| 1235661232 | Argires Marotti Neurosurgical Associates Pllc | Psychiatry & Neurology | 233 College Ave, Suite 201, Lancaster, PA 17603-3844 | 2017-03-29 |
| Find all providers in LANCASTER | ||||
Please comment or provide details below to improve the information on VIJAY SHANMUGAM M D INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.