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

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  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VITUNE VONGTAMA M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(209) 472-1848

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
00A297530MEDICAID (05)CA 
ZZZ30020ZMEDICARE 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.
1386784114
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166148812
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 = 44

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
1962805630CORKY 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 Medicine4722 QUAIL LAKES DR SUITE A
STOCKTON, CA 95207
(209) 476-0675
1659399202PACIFIC 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
Podiatrist4722 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.