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VISTA FAMILY MEDICINE LLC NPI 1700102464


NPI Information

NPI: 1700102464
Provider Name: VISTA FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 29D0990145

Address:
4834 SPARKS BLVD
SUITE 100
SPARKS, NV
ZIP 89436
Phone: (775) 356-8100
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VISTA FAMILY MEDICINE LLC is a family medicine in Sparks, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VISTA FAMILY MEDICINE LLC NPI is 1700102464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4834 SPARKS BLVD
SUITE 100
SPARKS, NV
ZIP 89436-215
Phone: (775) 356-8100
Fax: (775) 356-8101

The provider's authorized official is Hyun Hong .
The authorized official title is Managing Member and has the following contact phone number (775) 356-8100.

The CLIA number assigned to this NPI record is 29D0990145 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/20/2010 and was last updated on 8/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine9830NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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