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JONATHAN VANWICKLE MD NPI 1811493737


NPI Information

NPI: 1811493737
Provider Name: JONATHAN VANWICKLE, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
1325 E CHURCH ST STE 101
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-2529
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Jonathan Vanwickle, MD is a radiation oncology radiology in Santa Maria, CA with 6 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Jonathan Vanwickle, MD NPI is 1811493737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WISCONSIN COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2018

The provider's business location address is:

1325 E CHURCH ST STE 101
SANTA MARIA, CA
ZIP 93454-915
Phone: (805) 925-2529
Fax: (805) 928-4478

The NPI 1811493737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 6/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramMICHIGANNo
22085R0001XRadiologyRadiation OncologyA183334CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.