Individual provider Active NPI

Mary Rita Mu-Tagaloa Walker, REGISTERED DIETITIAN

  • Registered Dietitian
  • Lompoc, CA
National Provider Identifier
1720506512
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
835750 Issued in IL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
835750OtherILAMERICAN DIETETIC ASSOCIATION COMMISSION OF DIETETICS

Other names 1

  • Mrs. Mary Rita Mu-Tagaloa-Walker Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
835750ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.