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MACK MEDICAL MANAGEMENT CORPORATION
NPI 1417654013
Surgery - Vascular Surgery in Visalia, CA

Active since February 14, 2023
820 S AKERS ST STE 120, VISALIA, CA 93277(559) 365-7147(559) 625-6004 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mack Medical Management Corporation NPPES

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

MACK MEDICAL MANAGEMENT CORPORATION (NPI 1417654013) is a healthcare organization registered as a vascular surgery in Visalia, California and active in the NPI registry since February 2023. The organization lists Lamar Mack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417654013
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMACK MEDICAL MANAGEMENT CORPORATION
Location Address820 S AKERS ST STE 120Visalia, CA 93277-8306
Mailing Address2423 W Green Acres DrVisalia, CA 93291-4342 · (559) 624-6520
Phone(559) 365-7147
Fax(559) 625-6004
Organization SubpartNo
Authorized OfficialLamar MackCeo · (559) 624-6520
Enumeration DateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1417654013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
820 S AKERS ST STE 120, Visalia, CA 93277
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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 7

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

DR. MATTHEW PETER CAMPBELL MD
Surgery (Vascular Surgery)
820 S AKERS ST STE 120
VISALIA, CA 93277
Tulare County (559) 625-4118
EDWARD SAMOURJIAN M.D.
Surgery (Vascular Surgery)
820 S AKERS ST STE 120
VISALIA, CA 93277
Tulare County (559) 625-4118
DR. ABDULRAHMAN HAMDI M.D.
Surgery (Vascular Surgery)
820 S AKERS ST STE 120
VISALIA, CA 93277
Tulare County (559) 625-4118
SOUTH VALLEY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
820 S AKERS ST STE 120
VISALIA, CA 93277
Tulare County (559) 625-4118
BAY AREA SURGICAL SPECIALISTS, INC
Surgery (Vascular Surgery)
820 S AKERS ST STE 120
VISALIA, CA 93277
Tulare County (559) 625-4118
ALEXANDER H. NGUYEN M.D.
Surgery (Vascular Surgery)
820 S AKERS ST STE 120
VISALIA, CA 93277
Tulare County (559) 625-4118
MR. FREDERICK DWAYNE GILLIAM PA-C
Physician Assistant (Surgical)
820 S AKERS ST STE 120
VISALIA, CA 93277
Tulare County (559) 625-4118

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 Mack Medical Management Corporation's NPI number?

The NPI number for Mack Medical Management Corporation is 1417654013. It was assigned to this organization in the NPPES registry on February 14, 2023.

Where is Mack Medical Management Corporation located?

Mack Medical Management Corporation is located at 820 S Akers St Ste 120, Visalia, CA 93277. The listed phone number is (559) 365-7147.

What is Mack Medical Management Corporation'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 Mack Medical Management Corporation was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.