ST. TERESA COMPREHENSIVE CANCER CENTER
NPI 1386784114
Radiology - Radiation Oncology in Stockton, CA

Active since February 08, 2007
4722 QUAIL LAKES DR, STOCKTON, CA 95207(209) 472-1848(209) 472-0133 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Teresa Comprehensive Cancer Center NPPES

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

ST. TERESA COMPREHENSIVE CANCER CENTER (NPI 1386784114) is a healthcare organization registered as a radiation oncology in Stockton, California and active in the NPI registry since February 2007. The organization lists Vitune Vongtama, Owner, as its authorized official.

NPPES Registry Identity

NPI1386784114
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameV. VONGTAMA MD INC
Location Address4722 QUAIL LAKES DRStockton, CA 95207-5244
Mailing Address4722 Quail Lakes DrStockton, CA 95207-5244 · (209) 472-1848
Fax(209) 472-0133
Organization SubpartNo
Authorized OfficialVitune VongtamaOwner · (209) 472-1848
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 21, 2014
NPI 1386784114 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 · A29753
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

Other Names 1

Doing Business AsSt. Teresa Comprehensive Cancer Center

Other Identifiers 2

Medicaid00A297530CA
Medicare ID-Type UnspecifiedZZZ30020Z

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 V. Vongtama MD Inc's NPI number?

The NPI number for V. Vongtama MD Inc is 1386784114. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as St. Teresa Comprehensive Cancer Center.

Where is V. Vongtama MD Inc located?

V. Vongtama MD Inc is located at 4722 Quail Lakes Dr, Stockton, CA 95207. The listed phone number is (209) 472-1848.

What is V. Vongtama MD Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for V. Vongtama MD Inc was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.