Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vijay Mandyam, DPM

Individual provider Podiatrist · NPI 1174618672

Dr. Vijay Mandyam, DPM is a Podiatry in Lancaster, California. Graduated from California School of Podiatric Medicine in 1996, 30 years ago. Practices with Lakeside Medical Organization a Medical Group Inc, a 65-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

43713 20th St W Ste 5
Lancaster, CA 93534-4628
Phone: (661) 945-8700
Fax: (661) 945-8757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E4071 (CA)

Record details

NPI number1174618672
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address43713 20th St W Ste 5, Lancaster, CA 93534-4628

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1996 (30 years in practice)
Group practice Lakeside Medical Organization A Medical Group Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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