Lamar Octavius Mack, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A123815 Issued in CA

Practice address

820 S Akers St
Ste 120
Visalia, CA 93277-8306

Phone

(559) 625-4118

Fax

(559) 625-6004

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Vascular Surgery

Education

University of North Carolina at Chapel Hill School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• California Home Health Home health agency, Fresno, CA, CCN 553112
• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
• Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lamar.mack.p1@direct.altura.nextgenshare.com

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.

• Kaweah Delta Health Care District

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529
  Medicare reassignment Care Compare group NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744
  Medicare reassignment NPD
• County of Tulare

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1407304678
  Medicare reassignment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1588699151
  NPD
• Kaweah Delta Health Care District

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1184169781
  NPD
• Kaweah Delta Health Care District

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• VMP Podiatry

  • Podiatrist
  • Clovis, CA
  • NPI 1497568042
  NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  NPD (past)
• Kaweah Delta Health Care District

  • Rural Health Clinic/Center
  • Exeter, CA
  • NPI 1043272172
  NPD (past)
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Californiahomehealth

  • Home Health Agency
  • Fresno, CA
  • NPI 1629437520
  Care Compare affiliation
• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Care Compare affiliation
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1093970535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST",
            "address_2": "STE 120",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306",
            "telephone_number": "559-625-4118",
            "fax_number": "559-625-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST",
            "address_2": "STE 120",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306",
            "telephone_number": "559-625-4118",
            "fax_number": "559-625-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "LAMAR",
        "middle_name": "OCTAVIUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A123815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette Berenice Macias Ortiz, BA
• Amber Macias
• Lea Alexandra Macias, M.D.
• Alyssa N Maciel, BSW INTERN
• Mack Medical Management Corporation
• Karen M Mackenzie, M.D.
• Marryjane Estamo Mackey, PHYSICAL THERAPIST
• Sandra Carol Mackiney, NP-C
• Julianne Macmullen, FNP
• Melanie Maddox

• Vascular Surgery Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.