LAMAR OCTAVIUS MACK (NPI# 1093970535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093970535 |
| Entity Type | Individual |
| Full Name | LAMAR OCTAVIUS MACK |
| Credential | MD |
| Practice Address |
116 N Akers St Visalia CA 93291-5121 |
| Mailing Address |
820 S Akers St Ste 120 Visalia CA 93277-8306 |
| Practice Telephone | 5596254118 |
| Mailing Telephone | 5596254118 |
| Mailing Fax Number | 5596256004 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A123815 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TN | Student, Health Care |
| Street Address |
116 N AKERS ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861583551 | George Stanley Lavenson Jr. | Specialist | 116 N Akers St, Visalia, CA 93291-5121 | 2006-09-27 |
| 1033554324 | Seth Jonah Brazier | Podiatrist | 116 N Akers St, Visalia, CA 93291-5121 | 2013-05-01 |
| 1902177751 | Central Valley Foot and Ankle Inc | Podiatrist | 116 N Akers St, Visalia, CA 93291-5121 | 2012-01-24 |
| 1548474570 | Omar Amer Araim | Surgery | 116 N Akers St, Visalia, CA 93291-5121 | 2007-05-09 |
| 1538373592 | Omar A. Araim M.d. Inc | Surgery | 116 N Akers St, Visalia, CA 93291-5121 | 2007-05-09 |
| 1740494822 | Matthew P Campbell Md Inc | Surgery | 116 N Akers St, Visalia, CA 93291-5121 | 2007-05-09 |
| 1811018534 | Paul R. Mayo | Podiatrist | 116 N Akers St, Visalia, CA 93291-5121 | 2007-04-02 |
| 1538250808 | Daniel James Boken | Internal Medicine | 116 N Akers St, Visalia, CA 93291-5121 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679028195 | Bay Area Surgical Specialists, Inc | Surgery | 820 S Akers St Ste 120, Visalia, CA 93277-8306 | 2016-08-25 |
| 1558623793 | David Nye | Surgery | 820 S Akers St, Ste 120, Visalia, CA 93277-8306 | 2012-06-13 |
| 1508166190 | South Valley Vascular Associates Inc. | Surgery | 820 S. Akers, Suite 120, Visalia, CA 93277-5121 | 2010-10-28 |
| 1285945196 | Abdulrahman Hamdi | Surgery | 820 S Akers St Ste 120, Visalia, CA 93277-8306 | 2010-06-24 |
| 1184885873 | Edward Samourjian | Surgery | 820 S Akers St Ste 120, Visalia, CA 93277-8306 | 2008-06-24 |
| 1548474570 | Omar Amer Araim | Surgery | 116 N Akers St, Visalia, CA 93291-5121 | 2007-05-09 |
| 1538373592 | Omar A. Araim M.d. Inc | Surgery | 116 N Akers St, Visalia, CA 93291-5121 | 2007-05-09 |
| 1740494822 | Matthew P Campbell Md Inc | Surgery | 116 N Akers St, Visalia, CA 93291-5121 | 2007-05-09 |
| 1083735070 | Matthew Peter Campbell | Surgery | 820 S Akers St Ste 120, Visalia, CA 93277-8306 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.