OrganizationActive
Vantage Cancer Care Network of New Mexico, LLC
NPI 1972906873 · Medical Oncology Physician · Manhattan Beach, CA
Provider details
- NPI number
- 1972906873
- 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
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
1500 Rosecrans Ave
Suite 400
Manhattan Beach, CA 90266-3763
Phone: (310) 335-4000
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Rosecrans Ave
Manhattan Beach, CA 90266-3763
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 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.