ST. TERESA COMPREHENSIVE CANCER CENTER
NPI 1386784114
Radiology - Radiation Oncology in Stockton, CA
NPI Status: Active since February 08, 2007
Contact Information
4722 QUAIL LAKES DR
STOCKTON, CA
ZIP 95207
Phone: (209) 472-1848
Fax: (209) 472-0133
- Organization
- Radiology
- Radiation Oncology
About ST. TERESA COMPREHENSIVE CANCER CENTER
This page provides the complete NPI Profile along with additional information for St. Teresa Comprehensive Cancer Center, a provider established in Stockton, California operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1386784114 assigned on February 2007. The practitioner's primary taxonomy code is 2085R0001X with license number A29753 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as St. Teresa Comprehensive Cancer Center. The authorized official of this NPI record is Dr. Vitune Vongtama M.d. (Owner)
- NPI
- 1386784114
- Provider Legal Name
- V. VONGTAMA MD INC
- Other Organization Name
- ST. TERESA COMPREHENSIVE CANCER CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4722 QUAIL LAKES DR STOCKTON, CA 95207
- Location Phone
- (209) 472-1848
- Location Fax
- (209) 472-0133
- Mailing Address
- 4722 QUAIL LAKES DR STOCKTON, CA 95207
- Mailing Phone
- (209) 472-1848
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2007
- Last Update Date
- 08-21-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A29753
- License State
- CA
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
00A297530 | MEDICAID (05) | CA | |
ZZZ30020Z | MEDICARE ID-TYPE UNSPECIFIED (04) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 8 | 6 | 7 | 8 | 4 | 1 | 1 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 16 | 6 | 14 | 8 | 8 | 1 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 6 + 6 + 1 + 4 + 8 + 8 + 1 + 2 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1386784114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1962805630 | CORKY HUL MEDICAL ASSOC Organization | Preventive Medicine (Occupational Medicine) | 4722 QUAIL LAKES DR STOCKTON, CA 95207 (209) 610-1800 |
1629008339 | ANNETTE MARIA SEILER MD Individual | Family Medicine | 4722 QUAIL LAKES DR SUITE A STOCKTON, CA 95207 (209) 476-0675 |
1659399202 | PACIFIC WOUND CENTER MEDICAL GROUP, INC. Organization | Internal Medicine (Cardiovascular Disease) | 4722 QUAIL LAKES DR SUITE A STOCKTON, CA 95207 (209) 476-0675 |
1902914963 | WILLIAM D MCDONALD DPM Individual | Podiatrist | 4722 QUAIL LAKES DR SUITE A STOCKTON, CA 95207 (209) 476-0675 |
1245434083 | DAN VONGTAMA M.D. Individual | Radiology (Radiation Oncology) | 4722 QUAIL LAKES DR STOCKTON, CA 95207 (209) 472-1848 |
1598793507 | VITUNE VONGTAMA MD Individual | Radiology (Radiation Oncology) | 4722 QUAIL LAKES DR STOCKTON, CA 95207 (209) 472-1848 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386784114, enumerated in the NPI registry as an "organization" on February 08, 2007
The provider is located at 4722 Quail Lakes Dr Stockton, Ca 95207 and the phone number is (209) 472-1848
This medical organization specializes in Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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