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61ST MED SQ-LOS ANGELES
NPI 1720496383
Military/U.S. Coast Guard Pharmacy in El Segundo, CA

Active since July 28, 2014
483 N AVIATION BLVD BLDG 210, EL SEGUNDO, CA 90245(310) 653-6841(310) 653-6658 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Mar 30, 2016 (2 updates tracked since 2016).

About 61st Med Sq-los Angeles NPPES

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

61ST MED SQ-LOS ANGELES (NPI 1720496383), doing business as Dod Los Angeles Ephcy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in El Segundo, 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

NPI1720496383
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name61ST MED SQ-LOS ANGELES
Location Address483 N AVIATION BLVD BLDG 210El Segundo, CA 90245-2808
Mailing Address61st. Medical Squadron Sgsr C/o Rmo Office, 483 N. Aviation Blvd. Bldg. 210El Segundo, CA 90245 · (310) 653-6841 · Fax (310) 653-6658
Phone(310) 653-6841
Fax(310) 653-6658
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJuly 28, 2014
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1720496383 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.
483 N AVIATION BLVD BLDG 210, El Segundo, CA 90245
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Other Names 1

Doing Business AsDod Los Angeles Ephcy

Other Identifiers 1

Other2147045Pk

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 20

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

KRISTA GRIMM M.D.
Pediatrics
483 N AVIATION BLVD BLDG 210, 61 MDS/SGOC
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
WANDER STENIO SEGURA M.D
Psychiatry & Neurology (Psychiatry)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
XRYSTINA DANETTE NIMS
Pharmacist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6547
JEAN MACLY SAINT-SIMON ARNP
Nurse Practitioner (Family)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
ZACHARIAH S SMITH DO
Family Medicine
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
ELIZABETH IDROGO
Physician Assistant
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6717
JENNEVA BARRETT LCSW
Social Worker (Clinical)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6860
KAYSEE LYNN ISHMAN
Dentist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679

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 61st Med Sq-Los Angeles's NPI number?

The NPI number for 61st Med Sq-Los Angeles is 1720496383. It was assigned to this organization in the NPPES registry on July 28, 2014. The provider is doing business as DoD LOS ANGELES ePhcy.

Where is 61st Med Sq-Los Angeles located?

61st Med Sq-Los Angeles is located at 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245. The listed phone number is (310) 653-6841.

What is 61st Med Sq-Los Angeles's specialty?

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

What insurance does 61st Med Sq-Los Angeles 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 27 other insurers list 61st Med Sq-Los Angeles 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 61st Med Sq-Los Angeles was last updated on June 12, 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.