VEGAS MD - NPI 1295386936 - Family Medicine in Las Vegas, NV

Q: What is Vegas MD's NPI number?

The NPI number for Vegas MD is 1295386936. It was assigned to this organization in the NPPES registry on September 24, 2019.

Q: What is Vegas MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vegas MD was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Vegas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VEGAS MD (NPI 1295386936) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since September 2019. The organization lists Jinglan Gustilo, Manager, as its authorized official.

NPPES Registry Identity

NPI1295386936

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameVEGAS MD

Location Address5300 SPRING MOUNTAIN RD STE 112Las Vegas, NV 89146-8724

Mailing Address5300 Spring Mountain Rd Ste 112Las Vegas, NV 89146-8724 · (702) 362-6373 · Fax (702) 362-6420

Phone(702) 362-6373

Fax(702) 362-6420

Organization SubpartNo

Authorized OfficialJinglan GustiloManager · (702) 362-6373

Enumeration DateSeptember 24, 2019

Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1295386936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

5300 SPRING MOUNTAIN RD STE 112, Las Vegas, NV 89146

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZI WANG PA-C

Physician Assistant