NPIMap

Organization Active NPI

Vantage Radiation Oncology Associates LLC

  • Radiation Oncology Physician
  • Lawrenceville, GA
National Provider Identifier
1568627677
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
VANTAGE RADIATION ONCOLOGY ASSOCIATES LLC
Practice address
698 Duluth Hwy
Suite 100
Lawrenceville, GA 30046-7645
Phone
(770) 962-8888
Fax
(770) 963-7447
NPI assigned
Jul 29, 2008
Last updated
Feb 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Joe Chang
Title
Operations
Phone
(310) 335-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

698 Duluth Hwy
Suite 100
Lawrenceville, GA 30046-7645

Mailing address

1500 Rosecrans Ave
Ste 400
Manhattan Beach, CA 90266-3763
Phone (310) 335-4011

National Provider Directory

National Provider Directory

Locations

922 Rolling Acres Rd
Lady Lake, FL 32159
Phone (352) 326-2224

308 Deep South Farm Rd
#100
Blairsville, GA 30512
Phone (706) 835-3030

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1568627677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROSECRANS AVE",
            "address_2": "STE 400",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663763",
            "telephone_number": "310-335-4011",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 DULUTH HWY",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467645",
            "telephone_number": "770-962-8888",
            "fax_number": "770-963-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE RADIATION ONCOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "310-335-4011"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.