1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Physician Assistant
  6. NPI Profile

VIBRANCY VIP MEDCLINIC LLC
NPI 1184351926
Physician Assistant - Medical in Albuquerque, NM

Active since August 02, 2022
4801 ALAMEDA BLVD NE STE A, ALBUQUERQUE, NM 87113(505) 309-3496(505) 441-2736 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vibrancy Vip Medclinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIBRANCY VIP MEDCLINIC LLC (NPI 1184351926) is a healthcare organization registered as a medical in Albuquerque, New Mexico and active in the NPI registry since August 2022. The organization lists Sonja Mailman, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1184351926
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameVIBRANCY VIP MEDCLINIC LLC
Location Address4801 ALAMEDA BLVD NE STE AAlbuquerque, NM 87113-1532
Mailing Address4801 Alameda Blvd Ne Ste AAlbuquerque, NM 87113-1532 · (505) 309-3496 · Fax (505) 441-2736
Phone(505) 309-3496
Fax(505) 441-2736
Organization SubpartNo
Authorized OfficialSonja MailmanClinic Manager · (505) 309-3496
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1184351926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4801 ALAMEDA BLVD NE STE A, Albuquerque, NM 87113
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vibrancy Vip Medclinic LLC's NPI number?

The NPI number for Vibrancy Vip Medclinic LLC is 1184351926. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Vibrancy Vip Medclinic LLC located?

Vibrancy Vip Medclinic LLC is located at 4801 Alameda Blvd NE Ste A, Albuquerque, NM 87113. The listed phone number is (505) 309-3496.

What is Vibrancy Vip Medclinic LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Vibrancy Vip Medclinic LLC was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.