Vista Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9830 Issued in NV

Legal business name

VISTA FAMILY MEDICINE LLC

Practice address

4834 Sparks Blvd
Suite 100
Sparks, NV 89436-8215

Phone

(775) 356-8100

Fax

(775) 356-8101

NPI assigned

Apr 20, 2010

Organization subpart

No

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

Authorized official

Name

Hyun Hong, MDNPI 1083691927

Title

Managing Member

Phone

(775) 356-8100

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: vistafam@direct.practicefusion.com

Practitioners 1

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

• Hyun Jung Hong, MD

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1083691927
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1700102464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 SPARKS BLVD",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368215",
            "telephone_number": "775-356-8100",
            "fax_number": "775-356-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SPARKS BLVD",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368215",
            "telephone_number": "775-356-8100",
            "fax_number": "775-356-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2021-08-03",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "HYUN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "775-356-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vistafam@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "4834 Sparks Blvd",
            "address_2": "Suite 100",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894368215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Visiting Angels
• Vista Adult Care
• Vista Adult Care LLC
• Vista Adult Care, Inc.
• Vista Adult Care, Inc.
• Leanna Vita
• Vitalcare Health Services Inc
• Illiana Viveros
• Dietrich Von Feldmann, M.D.
• Joseph Alan Vondra, D.C.

• Family Medicine Physician in Sparks, NV
• Providers in Sparks, 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 Aug 3, 2021; 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.