Active NPI
60TH Medgrp-Travis
- Military Hospital
- Travis AFB, CA
National Provider Identifier
1205896701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- Legal business name
- 60TH MEDGRP-TRAVIS
- Practice address
- 101 Bodin Cir
60TH Medical Group
Travis AFB, CA 94535-1809 - Phone
- (707) 451-7913
- Fax
- (707) 423-7574
- NPI assigned
- Mar 27, 2006
- Last updated
- Jun 16, 2025
- Organization subpart
- Yes
- Parent organization
- 60TH MEDGRP-TRAVIS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Lewandowski
- Title
- Air Force Ubo Analyst
- Phone
- (703) 817-4030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | Primary |
Addresses
Primary practice location
101 Bodin Cir
60TH Medical Group
Travis AFB, CA 94535-1809
Mailing address
101 Bodin Cir
60TH Medical Group
Travis AFB, CA 94535-1809
Phone (707) 451-7913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37-22217 | Other | CA | NCPDP |
Other names 1
- Travis AFB MTF
National Provider Directory
National Provider Directory- Tax ID family
- 60TH Medgrp-Travis
- 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.
-
dba DoD TRAVIS ePhcy
- Military/U.S. Coast Guard Pharmacy
- Travis AFB, CA
- NPI 1043622681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1205896701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"address_2": "60TH MEDICAL GROUP",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-451-7913",
"fax_number": "707-423-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"address_2": "60TH MEDICAL GROUP",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-451-7913",
"fax_number": "707-423-7574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "60TH MEDGRP-TRAVIS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "60TH MEDGRP-TRAVIS",
"enumeration_date": "2006-03-27",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "LEWANDOWSKI",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "AIR FORCE UBO ANALYST",
"authorized_official_telephone_number": "703-817-4030"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "37-22217",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Travis AFB MTF",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Travis AFB, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.