ERIC VONDRAK DO NPI 1205399607

NPI Information

  • NPI: 1205399607
  • Provider Name: ERIC VONDRAK, DO
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 338 S DAKOTA AVE
    VANDENBERG AFB, CA
    ZIP 93437
  • Phone: (805) 606-1601

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NPI Details

Eric Vondrak, DO is an adult medicine family medicine in Vandenberg Afb, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Eric Vondrak, DO NPI is 1205399607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

338 S DAKOTA AVE
VANDENBERG AFB, CA
ZIP 93437-307
Phone: (805) 606-1601

The enumeration date for this NPI number is 4/11/2019 and was last updated on 7/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine2262NEBRASKAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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