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30th Medgrp-Vandenberg

Military/U.S. Coast Guard Outpatient Clinic/Center in Vandenberg Afb, CA · enumerated 2005 · authorized official Jen Lewandowski, Defense Health Agency (Dha) Financi.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477536126

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Registry record

Entity type Organization (Type 2)
Legal business name 30th Medgrp-Vandenberg
Parent organization 30th Medgrp-Vandenberg
Practice address 338 S Dakota Ave, Vandenberg Afb, CA, 93437
Fax (805) 606-4474
Enumeration date Nov 28, 2005
Last updated in NPPES Jun 12, 2025

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary
261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Ambulatory Health Care Facilities Secondary
332000000X Military/U.S. Coast Guard Pharmacy Suppliers Secondary

Authorized official

Name Jen Lewandowski
Title Defense Health Agency (Dha) Financi

Other identifiers

Identifier Type State Issuer
05-49759 Other CA NCPDP

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.

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Frequently asked questions

What is the NPI number for 30th Medgrp-Vandenberg?
The NPI for 30th Medgrp-Vandenberg is 1477536126, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 30th Medgrp-Vandenberg?
NPPES lists Jen Lewandowski (Defense Health Agency (Dha) Financi) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-12.