Vista Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11205 Issued in NV

Legal business name

VISTA MEDICAL ASSOCIATES LLC

Practice address

2909 W Charleston Blvd
Las Vegas, NV 89102-1925

Phone

(702) 798-1233

Fax

(702) 531-1233

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Kofi E Sarfo, MDNPI 1881695609

Title

President

Phone

(702) 798-1233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

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

• Kofi E Sarfo, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1881695609
  Medicare reassignment NPD Authorized official
• Beatrice Mary Blay, FNP

  • Family Nurse Practitioner
  • Mesquite, NV
  • NPI 1053830430
  Medicare reassignment NPD
• Julio Arvie Mata Madarazo Jr., MSN, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1144828849
  Medicare reassignment NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1962403121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365404",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890369404",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021925",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "SARFO",
        "authorized_official_first_name": "KOFI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-798-1233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Viska
• Mercy Melanie Bormate Vismanos, APRN
• Vilma S Visorde, PCA
• Harriet Visperas
• Daniel S Visser, PA-C
• Vista Smile LLC
• Vistas Hospice and Palliative Care Inc
• Vistech Optical
• Sahityan Viswanathan, M.D.
• Vita Care Hospice, Inc

• 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 Oct 24, 2018; 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.