Jonathan Vanwickle, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A183334 Issued in CA

Practice address

1325 E Church St Ste 101
Santa Maria, CA 93454-5915

Phone

(805) 925-2529

Fax

(805) 928-4478

NPI assigned

Mar 30, 2018

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

Wisconsin College of Physicians and Surgeons, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
• Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
• Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Coastal Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • Lompoc, CA
  • NPI 1922038173
  Medicare reassignment NPD
• Coastal Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • Ventura, CA
  • NPI 1922038009
  NPD
• Coastal Radiation Oncology Medical Group, Inc.

  • Radiation Oncology Physician
  • Simi Valley, CA
  • NPI 1932131158
  NPD
• Coastal Radiation Oncology Medical Group, Inc.

  dba Santa Maria Radiation Oncology Medical Center, Inc.

  • Radiation Oncology Physician
  • Santa Maria, CA
  • NPI 1093749129
  NPD (past)
• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  NPD (past)
• Dignity Health

  dba Arroyo Grande Community Hospital

  • General Acute Care Hospital
  • Arroyo Grande, CA
  • NPI 1770659336
  NPD (past)

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

• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Lompoc Valley Medical Center

  • General Acute Care Hospital
  • Lompoc, CA
  • NPI 1194711952
  Care Compare affiliation
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863
  Care Compare affiliation

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1811493737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-925-2529",
            "fax_number": "805-928-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-925-2529",
            "fax_number": "805-928-4478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANWICKLE",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A183334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai Gee Vang, BCABA
• Pahoua Vang
• See Vang
• Sherilyn Vanosdol, PHARMD
• Joy Vanterpool, M.D.
• Kylee Vanzandt
• Lupe Varela
• Angelica Margarita Vargas Gonzalez
• Olga C Vargas Guzman
• Lizbeth Briseida Vargas Hernandez

• Radiation Oncology Physician in Santa Maria, CA
• Providers in Santa Maria, 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 Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.