Vegas MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VEGAS MD

Practice address

5300 Spring Mountain Rd Ste 112
Las Vegas, NV 89146-8724

Phone

(702) 362-6373

Fax

(702) 362-6420

NPI assigned

Sep 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jinglan Gustilo

Title

Manager

Phone

(702) 362-6373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bayink-Raine Frederick Falter, DNP, NPC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1295325785
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1295386936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SPRING MOUNTAIN RD STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468724",
            "telephone_number": "702-362-6373",
            "fax_number": "702-362-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SPRING MOUNTAIN RD STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468724",
            "telephone_number": "702-362-6373",
            "fax_number": "702-362-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "GUSTILO",
        "authorized_official_first_name": "JINGLAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-362-6373"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vegas Innovative Psychiatry
• Vegas Innovative Psychiatry
• Vegas Innovative Psychiatry
• Vegas Light Care Pca LLC
• Vegas MD
• Vegas Medical Center PLLC
• Vegas Medical Home Visit LLC
• Vegas Medical Supplies Corp.
• Vegas Moon Care Pca LLC
• Vegas Neurology PLLC

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.