Vantage Cancer Care Network of Arizona, S.C.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

VANTAGE CANCER CARE NETWORK OF ARIZONA, S.C.

Practice address

1100 Gail Gardner Way
Prescott, AZ 86305-1690

Phone

(928) 776-1040

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By 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. Leslie E. Botnick, M.D.

Title

President

Phone

(323) 595-5769

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1457753592",
    "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": "902663707",
            "telephone_number": "310-335-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GAIL GARDNER WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051690",
            "telephone_number": "928-776-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE CANCER CARE NETWORK OF ARIZONA, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "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": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Vanderroest, RN
• Vanguard Medical Associates, PLLC
• Megan L. Vanmeter, ATR-BC, LPC-AT/S, &
• Karin Vannieuwenhuizen, P.A.-C
• Vantage Cancer Care - Arizona, S.C.
• Candy Lyn Varaksin, RRT
• Clyde R Varner, MD
• Terry Anne Vaughan, MD
• Rosemarie S Vedda, PA-C
• Vein Specialties, LLC

• Medical Oncology Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Medical Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.