Vantage Cancer Care Network of New Mexico, LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

VANTAGE CANCER CARE NETWORK OF NEW MEXICO, LLC

Practice address

1500 Rosecrans Ave
Suite 400
Manhattan Beach, CA 90266-3763

Phone

(310) 335-4000

NPI assigned

Oct 6, 2014

Organization subpart

Yes

Parent organization

VANTAGE CANCER CARE NETWORKS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Steven Udicious, ESQUIRE

Title

Vice President, General Counsel

Phone

(610) 519-0550

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1972906873",
    "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": "902663763",
            "telephone_number": "310-335-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROSECRANS AVE",
            "address_2": "SUITE 400",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663763",
            "telephone_number": "310-335-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE CANCER CARE NETWORK OF NEW MEXICO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANTAGE CANCER CARE NETWORKS, LLC",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "UDICIOUS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT, GENERAL COUNSEL",
        "authorized_official_telephone_number": "610-519-0550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Vandamme
• Thomas Joseph Vanmarter, BCBA
• Vantage Cancer Care - California
• Vantage Cancer Care - New Mexico, LLC
• Vantage Cancer Care Network of California
• Rina Susan Varughese, LMFT
• Verve & Bloom LLC
• Brenda Villafana Rizo, PT
• Harpreet Vitale, O.T.
• Gary John Vitti, M.S.,A.T.,C.

• Medical Oncology Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.