Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dan Vongtama, MD

Individual provider Radiation Oncology Physician · NPI 1245434083

Dan Vongtama, MD is a Radiation Oncology in Stockton, California. Graduated from Northwestern University Feinberg Medical School in 2004, 22 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Northwestern University Feinberg Medical School
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4722 Quail Lakes Dr
Stockton, CA 95207-5256
Phone: (209) 472-1848
Fax: (209) 472-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence A109003 (CA)

Record details

NPI number1245434083
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022
Mailing address4722 Quail Lakes Dr, Stockton, CA 95207-5256

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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