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30TH MEDGRP-VANDENBERG
NPI 1043626419
Military/U.S. Coast Guard Pharmacy in Vandenberg Afb, CA

Active since July 07, 2014
338 S DAKOTA AVE BLDG 13850, VANDENBERG AFB, CA 93437(805) 606-7440(805) 605-8380 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Jan 22, 2016 (2 updates tracked since 2016).

About 30th Medgrp-vandenberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

30TH MEDGRP-VANDENBERG (NPI 1043626419), doing business as Dod Vandenberg Ephcy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Vandenberg Afb, California and active in the NPI registry since July 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1043626419
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name30TH MEDGRP-VANDENBERG
Location Address338 S DAKOTA AVE BLDG 13850Vandenberg Afb, CA 93437-6307
Mailing Address30th Medical Group, 338 S. Dakota St. Ste 131-56Vandenberg Afb, CA 93437-6307 · (805) 606-7440 · Fax (805) 605-8380
Phone(805) 606-7440
Fax(805) 605-8380
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJuly 7, 2014
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1043626419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary/U.S. Coast Guard PharmacySuppliers
Taxonomy Code332000000X
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
338 S DAKOTA AVE BLDG 13850, Vandenberg Afb, CA 93437
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Other Names 1

Doing Business AsDod Vandenberg Ephcy

Other Identifiers 1

Other2146678Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIELE TERESA MOHRE DO
Pediatrics
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-2273
JORDAN LYNN SULLIVAN RN
Registered Nurse
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (805) 605-0261
DR. CHRISTOPHER VELASQUEZ DO
Emergency Medicine
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (805) 606-2273
VANDENBERG AIR FORCE 30TH MEDICAL GROUP
Dietitian, Registered
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-3469
DR. BENJAMIN GRAHAM BACON DDS
Dentist (General Practice)
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (361) 815-9929
MRS. MARY RITA MU-TAGALOA WALKER REGISTERED DIETITIAN
Dietitian, Registered
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (214) 684-0947
JENNIFER TA CPNP
Nurse Practitioner (Pediatrics)
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-2273
HANNAH JANE HULTINE
Physical Therapist
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-6236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 30th Medgrp-Vandenberg's NPI number?

The NPI number for 30th Medgrp-Vandenberg is 1043626419. It was assigned to this organization in the NPPES registry on July 7, 2014. The provider is doing business as DoD VANDENBERG ePhcy.

Where is 30th Medgrp-Vandenberg located?

30th Medgrp-Vandenberg is located at 338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA 93437. The listed phone number is (805) 606-7440.

What is 30th Medgrp-Vandenberg's specialty?

The primary specialty registered for this NPI is Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

What insurance does 30th Medgrp-Vandenberg accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 26 other insurers list 30th Medgrp-Vandenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 30th Medgrp-Vandenberg was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.