NPIMap

Individual provider Active NPI

Roy Vongtama, M.D.

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1083837058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A78334 Issued in CA
Practice address
200 Medical Plaza
B265
Los Angeles, CA 90095
Phone
(310) 825-0128
Fax
(310) 794-9795
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A78334 CA Primary

Addresses

Primary practice location

200 Medical Plaza
B265
Los Angeles, CA 90095

Mailing address

File #2939
Los Angels, CA 90074
Phone (310) 301-8709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070511000244 CA Practitioner - Radiation Oncology 4183720964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians

Practice addresses (Care Compare)

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A78334CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Radiation Oncology CurrentSince Jun 15, 2017 Accepting new patients
UCLA Radiology Medical Group Radiation Oncology CurrentSince Feb 1, 2021 Accepting new patients
Glendale Adventist Medical Center CurrentSince Mar 5, 2024 Accepting new patients
Glendale Adventist Medical Center CurrentSince Mar 5, 2024 Accepting new patients
Riverside Medical Group PC Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

3751 Katella Ave
Ste 102
Los Alamitos, CA 90720

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

1338 S Hope St
Ste A
Los Angeles, CA 90015

200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Interoperability endpoints

  • Direct secure messaging: rvongtama520738@direct.uclahealth.org
  • Direct secure messaging: rvongtama143044@cityofhope.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083837058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE #2939",
            "city": "LOS ANGELS",
            "state": "CA",
            "postal_code": "90074",
            "telephone_number": "310-301-8709",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA",
            "address_2": "B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-0128",
            "fax_number": "310-794-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGTAMA",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A78334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.