412th Medgrp-Edwards
NPI 1891765046 · Military/U.S. Coast Guard Outpatient Clinic/Center · Edwards Afb, CA
412th Medgrp-Edwards is a Military/U.S. Coast Guard Outpatient Clinic/Center organization in Edwards Afb, CA (NPI 1891765046).
Provider details
- NPI number
- 1891765046
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 412th Medgrp-Edwards
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Air Force Ubo Analyst(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is 412th Medgrp-Edwards's NPI number?
- 412th Medgrp-Edwards's National Provider Identifier (NPI) is 1891765046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 412th Medgrp-Edwards?
- 412th Medgrp-Edwards is classified in the NPPES registry as Military/U.S. Coast Guard Outpatient Clinic/Center (Ambulatory Health Care Facilities).
- Where is 412th Medgrp-Edwards located?
- 412th Medgrp-Edwards's practice location on file with NPPES is 30 Nightingale Rd, Edwards Afb, CA 93524-0001.
- What is 412th Medgrp-Edwards's phone number?
- The practice phone number listed in the NPPES registry for 412th Medgrp-Edwards is (661) 275-2634.
- Who is the authorized official for 412th Medgrp-Edwards?
- The authorized official listed on 412th Medgrp-Edwards's NPPES record is Jen Lewandowski, Air Force Ubo Analyst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 412th Medgrp-Edwards's NPI active?
- Yes — 412th Medgrp-Edwards's NPI (1891765046) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.