V. Vongtama, M.D., Inc.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A29753 Issued in CA

Legal business name

V. VONGTAMA, M.D., INC.

Practice address

1034 A St
Hayward, CA 94541-4106

Phone

(209) 342-5516

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vitune Vontama, MD

Title

Owner

Phone

(949) 721-6533

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Bay Regional Cancer Center Doing business as

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1366620874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 QUAIL LAKES DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075244",
            "telephone_number": "209-342-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 A ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414106",
            "telephone_number": "209-342-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. VONGTAMA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "VONTAMA",
        "authorized_official_first_name": "VITUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-721-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A29753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A297530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Regional Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiation Oncology Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.