NPIMap

Organization Active NPI

Vista Community Medical Center LLP

Doing business as Surgery Specialty Hospitals of America Southeast Houston

  • General Acute Care Hospital
  • Pasadena, TX
National Provider Identifier
1891718789
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
006941 Issued in TX
Legal business name
VISTA COMMUNITY MEDICAL CENTER LLP
Doing business as
Surgery Specialty Hospitals of America Southeast Houston
Practice address
4301 Vista Rd
Pasadena, TX 77504-2117
Phone
(713) 378-3000
Fax
(713) 378-3104
NPI assigned
Jul 25, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Jacquelyn Pham, RHIA
Title
VP Business Services
Phone
(713) 378-3046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 006941 TX Primary

Addresses

Primary practice location

4301 Vista Rd
Pasadena, TX 77504-2117

Mailing address

4301 Vista Rd
Pasadena, TX 77504-2117
Phone (713) 378-3000

Other practice location 1

4801 Bissonnet St
Bellaire, TX 77401-4028
Phone (346) 826-8055

Other identifiers 2

IdentifierTypeStateIssuer
HH0975OtherTXBCBS #
020981901MedicaidTX

Other names 1

  • Surgery Specialty Hospitals of America Southeast Houston Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041204000098 TX Part B Supplier - Clinic/Group Practice 6507822202 Receives reassigned benefits from 7 practitioners
Practice locations: Pasadena, TX
O20100810000272 TX Part A Provider - Hospital 6507822202 Practice locations: Pasadena, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891718789. Details of each certification follow.

Hospital certification: CCN 450831

Legal name
VISTA COMMUNITY MEDICAL CENTER LLP
Doing business as
SURGERY SPECIALTY HOSPITALS OF AMERICA, S.E. HOUSTON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 10, 1999
Last certification
Jun 17, 2015
Beds
37
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Enrollment address
4301 Vista Road
Surgery Specialty Hospitals of America,S.E. Housto
Pasadena, TX 77504-2117
Other Hospital Practice Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Surgery Specialty Hospitals of America SE HoustonCCN 450831 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0496271Surgery Specialty Hospitals of America4301 Vista Road, Pasadena, TX 77504AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4301 Vista Rd
#B
Pasadena, TX 77504
Phone (713) 378-3000

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Imran Taj Mohiuddin Individual Limited Partnership Interest May 22, 2024 0.67%
Vista Land and Equipment, LLC Organization, Pasadena, TX LLC, Owned by another organization or individual Limited Partnership Interest Jun 1, 2014 1%
Ella Yuk Tai Chan Individual 5% Or Greater Indirect Ownership Interest Dec 7, 2012 61%
Jacquelyn Pham Individual Corporate OfficerVP Business Services Aug 23, 2010
W-2 Managing EmployeeVP Business Services Aug 23, 2010
Doctors Practice Management Organization, Pasadena, TX Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2003 98.33%
General Partnership Interest Jun 1, 2003 98%
Limited Partnership Interest Jun 1, 2023 1%
Eric K Chan Individual 5% Or Greater Indirect Ownership InterestCeo/President Dec 7, 2012 8.8%
Corporate OfficerCeo/President Dec 7, 2012 100%
Operational/Managerial ControlCeo/President Dec 7, 2012 100%
Dynacq International, Inc Organization, Pasadena, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 1, 2003 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1891718789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "713-378-3000",
            "fax_number": "713-378-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "713-378-3000",
            "fax_number": "713-378-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Bissonnet St",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014028",
            "country_code": "US",
            "telephone_number": "346-826-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA COMMUNITY MEDICAL CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "VP BUSINESS SERVICES",
        "authorized_official_telephone_number": "713-378-3046",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "006941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "HH0975",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020981901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Specialty Hospitals of America Southeast Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.