MANA VASCULAR CLINIC, PLLC
NPI 1386121580
Surgery - Vascular Surgery in Glendale, AZ
About Mana Vascular Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANA VASCULAR CLINIC, PLLC (NPI 1386121580) is a healthcare organization registered as a vascular surgery in Glendale, Arizona and active in the NPI registry since July 2018. The organization lists Lannery Sioeli Lauvao, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mana Vascular Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mana Vascular Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mana Vascular Clinic, PLLC's NPI number?
The NPI number for Mana Vascular Clinic, PLLC is 1386121580. It was assigned to this organization in the NPPES registry on July 20, 2018.
Where is Mana Vascular Clinic, PLLC located?
Mana Vascular Clinic, PLLC is located at 18555 N 79th Ave Ste B101, Glendale, AZ 85308. The listed phone number is (520) 979-7095.
What is Mana Vascular Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Mana Vascular Clinic, PLLC enrolled in Medicare?
Yes. Mana Vascular Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mana Vascular Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mana Vascular Clinic, PLLC, in Nurse Practitioner and Vascular Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mana Vascular Clinic, PLLC was last updated on August 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mana Vascular Clinic, Pllc · NPI 1386121580
Vascular Surgery organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since July 20, 2018.
## Identity
- **NPI:** 1386121580 (Entity type: Organization)
- **Enumerated:** July 20, 2018
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Lannery Lauvao, OWNER
## Practice location
- **Address:** 18555 N 79TH AVE STE B101, Glendale, AZ 85308-8372
- **Phone:** (520) 979-7095 · **Fax:** (623) 594-2252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Vascular Surgery (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1386121580) · Data from the CMS NPPES public registry.