9th Medgrp-Beale
9th Medgrp-Beale is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Beale Afb, CA, holding Type 2 (organization) NPI 1184695991 since 2006. The authorized official on file is Jen Lewandowski, Air Force Uniform Business Office.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1184695991 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 9th Medgrp-Beale |
| Parent organization | 9th Medgrp-Beale |
| Practice address | 15301 WARREN SHINGLE RD, BLDG 5706, Beale Afb, CA, 95903 |
| Phone | 5306344866 |
| Fax | 5306344966 |
| Enumeration date | 2006-01-30 |
| Last updated in NPPES | 2025-06-16 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Air Force Uniform Business Office |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 546373 | Other | CA | NCPDP |
Copy-ready billing details
Provider: 9th Medgrp-Beale NPI: 1184695991 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 15301 WARREN SHINGLE RD, BLDG 5706, Beale Afb, CA, 95903
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497053565 | Susan Berganio | Individual | Family Nurse Practitioner | Beale Afb, CA |
| 1811981889 | Mario Silva | Individual | Family Medicine Physician | Beale Afb, CA |
| 1124015474 | Paul Gourley | Individual | Emergency Medicine Physician | Beale Afb, CA |
| 1821087719 | Leonid Katkovsky | Individual | Military Health Care Provider | Beale Afb, CA |
| 1548250731 | Ki-Hyeok Lee | Individual | General Practice Physician | Beale Afb, CA |
| 1366494924 | Wanetta King | Individual | Military Health Care Provider | Beale Afb, CA |
| 1447297213 | Dennis Bull | Individual | Clinical Psychologist | Beale Afb, CA |
| 1821017351 | Michael Osterhoudt | Individual | Optometrist | Beale Afb, CA |
Verify this record
Cross-check NPI 1184695991 against the authoritative CMS record: view 9th Medgrp-Beale 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
What type of organization is 9th Medgrp-Beale?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2025-06-16.