60TH Medical Group

Primary specialty

Military HospitalTaxonomy code 286500000X

License

4679 Issued in PR

Legal business name

60TH MEDICAL GROUP

Practice address

101 Bodin Cir
Travis AFB, CA 94535-1809

Phone

(707) 423-3459

NPI assigned

Sep 21, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcos Lopez

Title

Clinical Pharmacist

Phone

(707) 423-3459

Specialties & licenses 1

Addresses

Tax ID family

60TH Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Air Force

  • Military Hospital
  • Fairfield, CA
  • NPI 1013079334
  NPD tax ID

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1104925585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 SHOREY WAY",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336562",
            "telephone_number": "707-423-6459"
        },
        {
            "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": "707-423-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "60TH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "707-423-3459"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "PR",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 60 MSGS
• 60TH Medgrp-Travis (DoD TRAVIS ePhcy)
• 60TH Medgrp-Travis
• La Neice Lorraine Abdel-Shakur, CNM
• Nataliya Alexandrovna Ables, D.O.
• Eric Louis Abram, IDMT
• Kristy Abrams
• Javier A Abreu, DMD

• Military Hospital in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Military Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.