Vantage Oncology

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

VANTAGE ONCOLOGY

Practice address

401 E Highland Ave
Suite D
San Bernardino, CA 92404-3803

Phone

(909) 475-2703

Fax

(909) 475-2736

NPI assigned

Dec 17, 2011

Last updated

Dec 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mairia Simental, M.D.

Title

Medical Director

Phone

(909) 475-2701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1245509413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE",
            "address_2": "SUITE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043803",
            "telephone_number": "909-475-2703",
            "fax_number": "909-475-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE",
            "address_2": "SUITE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043803",
            "telephone_number": "909-475-2703",
            "fax_number": "909-475-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-17",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "SIMENTAL",
        "authorized_official_first_name": "MAIRIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-475-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evalina Vang
• Stephen A Vanhook
• Amanda Breana Vann, ASW
• Jade Vann
• Whikesha Denise Vann
• Vaprnet Anesthesiology Network
• Maria Vargas Serrano
• Aileen Vargas
• Angelique Renate Vargas
• Carlos Vargas

• Special Hospital in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Special Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.