Mack Medical Management Corporation
NPI 1417654013ActiveOrganization· Surgery, Vascular Surgery· Visalia, CA
Surgery, Vascular Surgery in Visalia, California, registered in NPPES in February 2023. The authorized official on file is Lamar Mack, MD, Ceo.
Overview
| NPI | 1417654013 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2023 |
| Last updated in NPPES | Feb 14, 2023 |
| Certified by provider | Feb 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
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 |
|---|
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