Active NPI
Vantage Cancer Care Network of California
- Medical Oncology Physician
- Manhattan Beach, CA
National Provider Identifier
1013310994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- VANTAGE CANCER CARE NETWORK OF CALIFORNIA
- Practice address
- 1500 Rosecrans Ave
Suite 400
Manhattan Beach, CA 90266-3763 - Phone
- (310) 335-4000
- NPI assigned
- Oct 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie E. Botnick, M.D.
- Title
- President
- Phone
- (323) 595-5769
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | Primary | ||
| Radiation Oncology Physician | 2085R0001X |
Addresses
Primary practice location
1500 Rosecrans Ave
Suite 400
Manhattan Beach, CA 90266-3763
Mailing address
1500 Rosecrans Ave
Suite 400
Manhattan Beach, CA 90266-3763
Phone (310) 335-4000
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Manhattan Beach, CA
- NPI 1275270282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412553600000",
"number": "1013310994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ROSECRANS AVE",
"address_2": "SUITE 400",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663763",
"telephone_number": "310-335-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROSECRANS AVE",
"address_2": "SUITE 400",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663763",
"telephone_number": "310-335-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANTAGE CANCER CARE NETWORK OF CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-06",
"last_updated": "2014-10-06",
"status": "A",
"authorized_official_last_name": "BOTNICK",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-595-5769",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
- Valley Radiotherapy Associates Medical Group Inc
- Natasha Vandamme
- Thomas Joseph Vanmarter, BCBA
- Vantage Cancer Care - California
- Vantage Cancer Care - New Mexico, LLC
- Vantage Cancer Care Network of New Mexico, LLC
- Rina Susan Varughese, LMFT
- Verve & Bloom LLC
- Brenda Villafana Rizo, PT
- Harpreet Vitale, O.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.