Vibrancy Vip Medclinic LLC
NPI 1184351926ActiveOrganization· Physician Assistant, Medical· Albuquerque, NM
Physician Assistant, Medical in Albuquerque, New Mexico, registered in NPPES in August 2022. The authorized official on file is Sonja Mailman, Clinic Manager.
Overview
| NPI | 1184351926 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2022 |
| Last updated in NPPES | Aug 2, 2022 |
| Certified by provider | Aug 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant, Medical providers in Albuquerque
- 1336543115
- 1700482478
- 1598151359
- 1629345848
- 1609225184
- 1306505425
- 1437742137
- 1841236882
- 1811243462
- 1962596338
- 1508028606
- 1235246299