DAN VONGTAMA M.D.
NPI 1245434083
Radiology - Radiation Oncology in Stockton, CA

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
4722 QUAIL LAKES DR, STOCKTON, CA 95207(209) 472-1848(209) 472-0133 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dan Vongtama M.d. NPPES

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

DAN VONGTAMA M.D. (NPI 1245434083) is an individual radiation oncology provider in Stockton, California, licensed in California (A109003) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2004).

NPPES Registry Identity

NPI1245434083
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDAN VONGTAMACredential: M.D.
Location Address4722 QUAIL LAKES DRStockton, CA 95207-5256
Mailing Address4722 Quail Lakes DrStockton, CA 95207-5256
Fax(209) 472-0133
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2004
Enumeration DateJune 14, 2007
Last NPPES UpdateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
NPI 1245434083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in CA · A109003
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

4722 QUAIL LAKES DR, Stockton, CA 95207

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dan Vongtama M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486791456
PECOS Enrollment IDI20091023000143
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012
Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.
223 services17 patients
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
204 services16 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
174 services16 patients
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002
Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.
115 services13 patients
Continuing radiation therapy consultation per week 77336
Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
100 services31 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
88 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Radiology (Radiation Oncology)
4722 QUAIL LAKES DR
STOCKTON, CA 95207
Radiology (Radiation Oncology)
4722 QUAIL LAKES DR
STOCKTON, CA 95207
Family Medicine
4722 QUAIL LAKES DR, SUITE A
STOCKTON, CA 95207
Internal Medicine (Cardiovascular Disease)
4722 QUAIL LAKES DR, SUITE A
STOCKTON, CA 95207
Podiatrist
4722 QUAIL LAKES DR, SUITE A
STOCKTON, CA 95207
Preventive Medicine (Occupational Medicine)
4722 QUAIL LAKES DR
STOCKTON, CA 95207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dan Vongtama's NPI number?

The NPI number for Dan Vongtama is 1245434083. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Dan Vongtama located?

Dan Vongtama practices at 4722 Quail Lakes Dr, Stockton, CA 95207. The listed phone number is (209) 472-1848.

What is Dan Vongtama's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Dan Vongtama enrolled in Medicare?

Yes. Dan Vongtama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dan Vongtama was last updated on October 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.