United States Space Force

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Legal business name

UNITED STATES SPACE FORCE

Doing business as

GRT
Laafb

Practice address

483 N Aviation Blvd BLDG 286
El Segundo, CA 90245-2808

Phone

(310) 653-1110

NPI assigned

Sep 16, 2025

Last updated

Sep 23, 2025By 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

Colin LimNPI 1861814121

Title

NH-3

Phone

(310) 653-1110

Specialties & licenses 1

Addresses

Other names 5

• GRT Doing business as
• LAAFB Doing business as
• Guardian Resilence Team Other name
• Los Angeles Air Force Base Other name
• Space Base Delta 3 Other name

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: grt@spaceforce.hdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colin Lim

  • Clinical Social Worker
  • El Segundo, CA
  • NPI 1861814121
  NPD Authorized official

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1396616850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N AVIATION BLVD BLDG 286",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N AVIATION BLVD BLDG 286",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452808",
            "telephone_number": "310-653-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES SPACE FORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "NH-3",
        "authorized_official_telephone_number": "310-653-1110"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GRT@SpaceForce.hDirect.net",
            "affiliation": "N",
            "endpointDescription": "Secure Direct Messaging to the Guardian Response Team",
            "address_1": "483 N Aviation Blvd Bldg 286",
            "city": "El Segundo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902452808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GRT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAAFB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Resilence Team",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Los Angeles Air Force Base",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Space Base Delta 3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Uche Ugwu
• Onyckah Ulik
• Hannah Ulman
• Lisa Bradford Ulrich, PT
• Marjan Ungureanu, D.M.D.
• India Upchurch
• Cheyenne Morgan Upton
• Diana Urbina
• Mariana Urbina
• Lucia J Ureno

• Military Health Care Provider in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Military Health Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.