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

Jonathan Vanwickle, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811493737

Jonathan Vanwickle, MD is a Radiation Oncology in Santa Maria, California. Graduated from Wisconsin College of Physicians and Surgeons in 2018, 8 years ago. Practices with Coastal Radiation Oncology Medical Group, Inc, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
8
Trained at
Wisconsin College of Physicians and Surgeons
Licensed in
CA, MI
In the registry since
2018
Specialties on file
2
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

1325 E Church St Ste 101
Santa Maria, CA 93454-5915
Phone: (805) 925-2529
Fax: (805) 928-4478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-2889

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence A183334 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1811493737
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolWISCONSIN COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2018 (8 years in practice)
Group practice Coastal Radiation Oncology Medical Group, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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