Mack Medical Management Corporation

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MACK MEDICAL MANAGEMENT CORPORATION

Practice address

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

Phone

(559) 365-7147

Fax

(559) 625-6004

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lamar Mack, MD

Title

Ceo

Phone

(559) 624-6520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1417654013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 W GREEN ACRES DR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914342",
            "telephone_number": "559-624-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 120",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306",
            "telephone_number": "559-365-7147",
            "fax_number": "559-625-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK MEDICAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-624-6520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Machado
• Ivette Berenice Macias Ortiz, BA
• Amber Macias
• Lea Alexandra Macias, M.D.
• Alyssa N Maciel, BSW INTERN
• Lamar Octavius Mack, MD
• Karen M Mackenzie, M.D.
• Marryjane Estamo Mackey, PHYSICAL THERAPIST
• Sandra Carol Mackiney, NP-C
• Julianne Macmullen, FNP

• 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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.