OrganizationActive
Vantage Cancer Care Network of Arizona, S.c.
NPI 1457753592 · Medical Oncology Physician · Prescott, AZ
Provider details
- NPI number
- 1457753592
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leslie Botnick, President(323) 595-5769
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Gail Gardner Way
Prescott, AZ 86305-1690
Phone: (928) 776-1040
Street-level locationGet directions
Mailing address
1500 Rosecrans Ave
Manhattan Beach, CA 90266-3707
Registry dates
- Enumerated
- 2014-09-19
- Last updated
- 2014-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.