VANTAGE CANCER CARE - ARIZONA, S.C.
NPI 1962804302
Internal Medicine - Medical Oncology in Prescott, AZ

Active since September 17, 2014
1100 GAIL GARDNER WAY, PRESCOTT, AZ 86305(928) 776-1040 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vantage Cancer Care - Arizona, S.c. NPPES

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

VANTAGE CANCER CARE - ARIZONA, S.C. (NPI 1962804302) is a healthcare organization registered as a medical oncology in Prescott, Arizona and active in the NPI registry since September 2014. The organization lists Leslie E. Botnick, President, as its authorized official.

NPPES Registry Identity

NPI1962804302
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameVANTAGE CANCER CARE - ARIZONA, S.C.
Location Address1100 GAIL GARDNER WAYPrescott, AZ 86305-1690
Mailing Address1500 Rosecrans Ave, Suite 400Manhattan Beach, CA 90266-3763 · (310) 335-4000
Organization SubpartNo
Authorized OfficialLeslie E. BotnickPresident · (323) 595-5769
Enumeration DateSeptember 17, 2014
NPI 1962804302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
1100 GAIL GARDNER WAY, Prescott, AZ 86305

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Radiology (Radiation Oncology)
1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Radiology (Radiation Oncology)
1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Internal Medicine (Medical Oncology)
1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Radiology (Radiation Oncology)
1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Radiology (Radiation Oncology)
1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Clinic/Center (Oncology, Radiation)
1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Radiology (Radiation Oncology)
1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305

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 Vantage Cancer Care - Arizona, S.C.'s NPI number?

The NPI number for Vantage Cancer Care - Arizona, S.C. is 1962804302. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Vantage Cancer Care - Arizona, S.C. located?

Vantage Cancer Care - Arizona, S.C. is located at 1100 Gail Gardner Way, Prescott, AZ 86305. The listed phone number is (928) 776-1040.

What is Vantage Cancer Care - Arizona, S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Vantage Cancer Care - Arizona, S.C. was last updated on September 17, 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.