VITUNE VONGTAMA (NPI# 1598793507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598793507 |
| Entity Type | Individual |
| Full Name | VITUNE VONGTAMA |
| Credential | MD |
| Practice Address |
4722 Quail Lakes Dr Stockton CA 95207-5244 |
| Mailing Address |
3742 Merrimac Circle Stockton CA 95219 |
| Practice Telephone | 2094721848 |
| Practice Fax Number | 2094720133 |
| Mailing Telephone | 2094738710 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A29753 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A297530 | 05 |
| Street Address |
4722 QUAIL LAKES DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962805630 | Corky Hul Medical Assoc | Preventive Medicine | 4722 Quail Lakes Dr, Stockton, CA 95207-5256 | 2014-10-08 |
| 1245434083 | Dan Vongtama | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5256 | 2007-06-14 |
| 1386784114 | V. Vongtama Md Inc | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5244 | 2007-02-08 |
| 1902914963 | William D Mcdonald | Podiatrist | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-08-29 |
| 1659399202 | Pacific Wound Center Medical Group, Inc. | Internal Medicine | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-07-18 |
| 1629008339 | Annette Maria Seiler | Family Medicine | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902139348 | Suasin Cancer Care, Inc. | Radiology | 1800 N California St, Stockton, CA 95204-6019 | 2009-09-17 |
| 1699965962 | Harvey A. Gilbert, Md. Inc. | Radiology | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2007-08-01 |
| 1245434083 | Dan Vongtama | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5256 | 2007-06-14 |
| 1154548626 | Gauravjit Singh | Radiology | 1901 N California St, Stockton, CA 95204-6005 | 2007-04-19 |
| 1386784114 | V. Vongtama Md Inc | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5244 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
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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.