30th Medgrp-Vandenberg
30th Medgrp-Vandenberg is a healthcare organization registered as Military/U.S. Coast Guard Pharmacy in Vandenberg Afb, CA, holding Type 2 (organization) NPI 1043626419 since 2014. The authorized official on file is Hector Morales, Chief Dha Pass.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1043626419 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 30th Medgrp-Vandenberg |
| Other name | <Unavail> |
| Parent organization | 30th Medgrp-Vandenberg |
| Practice address | 338 S DAKOTA AVE BLDG 13850, Vandenberg Afb, CA, 93437 |
| Phone | 8056067440 |
| Fax | 8056058380 |
| Enumeration date | 2014-07-07 |
| Last updated in NPPES | 2025-06-13 |
Authorized official
| Name | Hector Morales |
|---|---|
| Title | Chief Dha Pass |
| Phone | 2105366650 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332000000X | Military/U.S. Coast Guard Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146678 | Other | — | PK |
Copy-ready billing details
Provider: 30th Medgrp-Vandenberg NPI: 1043626419 Taxonomy: 332000000X (Military/U.S. Coast Guard Pharmacy) Address: 338 S DAKOTA AVE BLDG 13850, Vandenberg Afb, CA, 93437
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790035046 | Jennifer Ta | Individual | Pediatric Nurse Practitioner | Lompoc, CA |
| 1831575018 | Peter Scott | Individual | Family Medicine Physician | Vandenberg Afb, CA |
| 1790132181 | Hannah Hultine | Individual | Physical Therapist | Lompoc, CA |
| 1518490135 | Christopher Velasquez | Individual | Emergency Medicine Physician | Vandenberg Afb, CA |
| 1720506512 | Mary Mu-Tagaloa Walker | Individual | Registered Dietitian | Lompoc, CA |
| 1710476924 | Benjamin Bacon | Individual | General Practice Dentistry | Vandenberg Afb, CA |
| 1598315392 | Vandenberg Air Force 30th Medical Group | Organization | Registered Dietitian | Lompoc, CA |
| 1043902745 | Kiele Mohre | Individual | Pediatrics Physician | Lompoc, CA |
Verify this record
Cross-check NPI 1043626419 against the authoritative CMS record: view 30th Medgrp-Vandenberg on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is 30th Medgrp-Vandenberg located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-13.