VANTAGE ONCOLOGY (NPI# 1245509413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245509413 |
| Entity Type | Organization |
| Organization Name | VANTAGE ONCOLOGY |
| Practice Address |
401 E Highland Ave Suite D San Bernardino CA 92404-3803 |
| Practice Telephone | 9094752703 |
| Practice Fax Number | 9094752736 |
| Mailing Telephone | 9094752703 |
| Mailing Fax Number | 9094752726 |
| Enumeration Date | 2011-12-17 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | DR. MAIRIA SIMENTAL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9094752701 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | VANTAGE ONCOLOGY TREATMENT CENTERS - BROCKTON, INC. | 1500 Rosecrans Avenue Ste 400, Manhattan Beach, CA 90266 |
| Massachusetts Corporations | VANTAGE ONCOLOGY TREATMENTS CENTERS-BROCKTON LLC | 1500 Rosecrans Ave., Ste 400, Manhattan, CA 90266 |
| Colorado Business Entities | Vantage Oncology, LLC | 1500 Rosecrans Avenue, Suite 400, Manhattan Beach, CA 90266 |
| Massachusetts Corporations | VANTAGE ONCOLOGY, LLC | 1500 Rosecrans Ave., Suite 400, Manhattan Beach, CA 90266 |
| Street Address |
401 E HIGHLAND AVE SUITE D |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779997 | Maira E Simental | Radiology | 401 E Highland Ave, San Bernardino, CA 92404-3803 | 2005-12-01 |
| 1891301065 | Seven Oaks Surgery Center | Clinic/Center | 401 E Highland Ave, San Bernardino, CA 92404-3803 | 2020-09-22 |
| 1902419351 | Chaparral Medical Group, Inc. | Neurological Surgery | 401 E Highland Ave, San Bernardino, CA 92404-3803 | 2020-08-26 |
| 1700240629 | Ann Sherly Varghese | Nurse Practitioner | 401 E Highland Ave, Suite No. 551, San Bernardino, CA 92404-3803 | 2016-04-06 |
| 1396116794 | Douglas Krahn Md Facs Apc | Specialist | 401 E Highland Ave, Suite 351, San Bernardino, CA 92404-3803 | 2015-10-12 |
| 1679961429 | Heather Whitmer | Physician Assistant | 401 E Highland Ave, Ste 251, San Bernardino, CA 92404 | 2015-01-02 |
| 1902040819 | James Patrick Tomas | Internal Medicine | 401 E Highland Ave, Suite 551, San Bernardino, CA 92404-3803 | 2009-04-22 |
| 1194993055 | Chaparral Medical Group, Inc. | Anesthesiology | 401 E Highland Ave, Suite 553, San Bernardino, CA 92404-3803 | 2008-02-13 |
| 1780869826 | Inland Cardiothoracic Surgical Associates Medical Group, Inc. | Specialist | 401 E Highland Ave, Suite 251, San Bernardino, CA 92404-3803 | 2008-01-08 |
| 1043495187 | Inland Cardiothoracic Surgical Associates Medical Group Inc | Specialist | 401 E Highland Ave, Suite 251, San Bernardino, CA 92404-3803 | 2008-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053857706 | 5 Direction Integrative Veterinary Care | Special Hospital | 32 Ulloa St, San Francisco, CA 94127-1218 | 2017-01-18 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1821458662 | Poodles Inc | Special Hospital | 1333 9th Ave, San Francisco, CA 94122-2308 | 2016-03-04 |
| 1588023824 | Sue K Morizi | Special Hospital | 7527 Draper Ave, La Jolla, CA 92037-4802 | 2016-02-15 |
| 1831561307 | Willow Buckley | Special Hospital | 1840 Gatepost Rd, Encinitas, CA 92024-3021 | 2015-10-23 |
| 1063893741 | Patricia Piper | Special Hospital | 6422 Old Redwood Hwy, Santa Rosa, CA 95403-1158 | 2015-06-17 |
| 1225416365 | Kristen Yee Md PC | Special Hospital | 1111 Sonoma Ave Ste 112, Santa Rosa, CA 95405-4813 | 2015-05-08 |
| 1326438813 | Amalia Zacher | Special Hospital | 7160 Santa Teresa Blvd, San Jose, CA 95139-1349 | 2015-02-04 |
| 1962800870 | June K Chang | Special Hospital | 4000 W Riverside Dr, B, Burbank, CA 91505-4328 | 2014-12-09 |
| 1174921092 | Hired Power Transitional Living Center LLC | Special Hospital | 21062 Brookhurst St Ste 201, Huntington Beach, CA 92646-7404 | 2014-12-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.