Vantage Cancer Care - New Mexico, LLC
NPI 1790188688 · Medical Oncology Physician · Manhattan Beach, CA
Vantage Cancer Care - New Mexico, LLC is a Medical Oncology Physician organization in Manhattan Beach, CA (NPI 1790188688).
Provider details
- NPI number
- 1790188688
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vantage Cancer Care Networks, LLC
- Organization subpart
- Yes
- Authorized official
- Steven Udicious, Vice President, General Counsel(610) 519-0550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 2014-10-15
Frequently asked questions
- What is Vantage Cancer Care - New Mexico, LLC's NPI number?
- Vantage Cancer Care - New Mexico, LLC's National Provider Identifier (NPI) is 1790188688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vantage Cancer Care - New Mexico, LLC?
- Vantage Cancer Care - New Mexico, LLC is classified in the NPPES registry as Medical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Vantage Cancer Care - New Mexico, LLC located?
- Vantage Cancer Care - New Mexico, LLC's practice location on file with NPPES is 1500 Rosecrans Ave, Manhattan Beach, CA 90266-3763.
- What is Vantage Cancer Care - New Mexico, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vantage Cancer Care - New Mexico, LLC is (310) 335-4000.
- Who is the authorized official for Vantage Cancer Care - New Mexico, LLC?
- The authorized official listed on Vantage Cancer Care - New Mexico, LLC's NPPES record is Steven Udicious, Vice President, General Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vantage Cancer Care - New Mexico, LLC's NPI active?
- Yes — Vantage Cancer Care - New Mexico, LLC's NPI (1790188688) is active in the NPPES registry as of the last update on 2014-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.