Active NPI
Mary Rita Mu-Tagaloa Walker, REGISTERED DIETITIAN
- Registered Dietitian
- Lompoc, CA
National Provider Identifier
1720506512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 835750
- Practice address
- 338 S Dakota Ave BLDG 13850
Lompoc, CA 93437-6307 - Phone
- (214) 684-0947
- NPI assigned
- Aug 31, 2017
- Reactivated
- Mar 5, 2020
- Last updated
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 835750 | IL | Primary |
Addresses
Primary practice location
338 S Dakota Ave BLDG 13850
Lompoc, CA 93437-6307
Mailing address
338 South Dakota Ave, BLDG 13850 Vandenberg AFB, Ca 934
Apo, AA 93469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 835750 | Other | IL | AMERICAN DIETETIC ASSOCIATION COMMISSION OF DIETETICS |
Other names 1
- Mrs. Mary Rita Mu-Tagaloa-Walker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lompoc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835750 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vandenberg Air Force 30TH Medical Group | Dietitian, Registered | Current | Accepting new patients |
Locations
338 S Dakota Ave
Bldg 13850
Vandenberg AFB, CA 93437
Phone (805) 606-1846
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Lompoc, CA
- NPI 1598315392
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1720506512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "338 SOUTH DAKOTA AVE, BLDG 13850 VANDENBERG AFB, CA 934",
"city": "APO",
"state": "AA",
"postal_code": "93469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 S DAKOTA AVE BLDG 13850",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934376307",
"telephone_number": "214-684-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MU-TAGALOA WALKER",
"first_name": "MARY",
"middle_name": "RITA",
"name_prefix": "Mrs.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"deactivation_date": "2017-11-06",
"reactivation_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "835750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIETETIC ASSOCIATION COMMISSION OF DIETETICS",
"identifier": "835750",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lompoc",
"affiliation": "N",
"endpointDescription": "Medical facility",
"address_1": "338 S Dakota Ave Bldg 13850",
"city": "Lompoc",
"state": "CA",
"country_code": "US",
"postal_code": "934376307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "MU-TAGALOA-WALKER",
"middle_name": "RITA",
"prefix": "MRS.",
"credential": "MARY WALKER RDN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.