60TH Medgrp-Travis

Primary specialty

Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X

Legal business name

60TH MEDGRP-TRAVIS

Doing business as

DoD TRAVIS ePhcy

Practice address

101 Bodin Cir
Travis AFB, CA 94535-1809

Phone

(707) 423-7119

Fax

(707) 423-7994

NPI assigned

Jun 2, 2014

Last updated

Mar 27, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

60TH MEDICAL GROUP - TRAVIS AFBAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hector Morales

Title

Chief Dha Pass

Phone

(210) 536-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DoD TRAVIS ePhcy Doing business as

Tax ID family

60TH Medgrp-Travis2 organizations share this tax ID, including this one

Part of

60TH Medgrp-Travis

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 60TH Medgrp-Travis

  • Military Hospital
  • Travis AFB, CA
  • NPI 1205896701
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1043622681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7119",
            "fax_number": "707-423-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7119",
            "fax_number": "707-423-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "60TH MEDGRP-TRAVIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "60TH MEDICAL GROUP - TRAVIS AFB",
        "enumeration_date": "2014-06-02",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD TRAVIS ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 60 MSGS
• 60TH Medgrp-Travis
• 60TH Medical Group
• La Neice Lorraine Abdel-Shakur, CNM
• Nataliya Alexandrovna Ables, D.O.
• Eric Louis Abram, IDMT

• Military/U.S. Coast Guard Pharmacy in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Military/U.S. Coast Guard Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.