ONCOLOGY THERAPIES OF VISTA MEDICAL GROUP INC NPI 1265509657

NPI Information

NPI: 1265509657
Provider Name: ONCOLOGY THERAPIES OF VISTA MEDICAL GROUP, INC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
916 SYCAMORE AVE
VISTA, CA
ZIP 92081
Phone: (760) 599-9545
Get Directions

ONCOLOGY THERAPIES OF VISTA MEDICAL GROUP, INC is an oncology and radiation clinic center in Vista, CA. ONCOLOGY THERAPIES OF VISTA MEDICAL GROUP, INC NPI is 1265509657. The provider is registered as an organization entity type.

The provider's business location address is:

916 SYCAMORE AVE
VISTA, CA
ZIP 92081-815
Phone: (760) 599-9545
Fax: (760) 599-9549

The provider's authorized official is Elizabeth N Bourbeau .
The authorized official title is Manager and has the following contact phone number (760) 599-9545.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/8/2008.

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
1	261QX0203X	Clinic/Center	Oncology, Radiation		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00A42436A0	MEDICAID	CALIFORNIA
2	00A537410	MEDICAID	CALIFORNIA
3	00A830540	MEDICAID	CALIFORNIA
4	00G676470	MEDICAID	CALIFORNIA
5	W15047	MEDICARE PIN	CALIFORNIA

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: 4/28/2024

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