DAN VONGTAMA M.D.
NPI 1245434083
Radiology - Radiation Oncology in Stockton, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Dan Vongtama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95219
- Reassigned Medicare billing, California enrollment
- 1,191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
STOCKTON, CA 95207
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.
Which organization bills Medicare for Dan Vongtama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dan Vongtama reassigns Medicare benefits to Dignity Health Medical Foundation (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dan Vongtama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dan Vongtama was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.