MANA VASCULAR CLINIC, PLLC
NPI 1386121580
Surgery - Vascular Surgery in Glendale, AZ

Active since July 20, 2018
18555 N 79TH AVE STE B101, GLENDALE, AZ 85308(520) 979-7095(623) 594-2252 Get Directions Write a Review

NPPES record last updated: August 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2024, Jul 20, 2018 (2 updates tracked since 2018).

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

NPI1386121580
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMANA VASCULAR CLINIC, PLLC
Location Address18555 N 79TH AVE STE B101Glendale, AZ 85308-8372
Mailing Address14780 W Mountain View Blvd Ste 120Surprise, AZ 85374-7280 · (520) 979-7095
Fax(623) 594-2252
Organization SubpartNo
Authorized OfficialLannery Sioeli LauvaoOwner · (520) 979-7095
Enumeration DateJuly 20, 2018
Last NPPES UpdateAugust 11, 20242 updates tracked since enumeration
NPPES CertifiedAugust 11, 2024
NPI 1386121580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
18555 N 79TH AVE STE B101, Glendale, AZ 85308

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
18555 N 79TH AVE STE B101
GLENDALE, AZ 85308
Clinic/Center (Multi-Specialty)
18555 N 79TH AVE STE B101
GLENDALE, AZ 85308
Surgery (Vascular Surgery)
18555 N 79TH AVE STE B101
GLENDALE, AZ 85308
Clinic/Center (Health Service)
18555 N 79TH AVE STE B101
GLENDALE, AZ 85308

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.

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 23 months 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.