SAC HEALTH SYSTEM (NPI# 1801270137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801270137 |
| Entity Type | Organization |
| Organization Name | SAC HEALTH SYSTEM |
| Other Organization Name | SAC SAN BERNARDINO CAMPUS |
| Practice Address |
250 South G Street San Bernardino CA 92410 |
| Mailing Address |
1454 E 2nd St San Bernardino CA 92408-0118 |
| Practice Telephone | 9093827100 |
| Mailing Telephone | 9093827180 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | TASHA AMICK (DIR OF BILLING) |
| Authorized Official Telephone | 9093827180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CMM70708F | CA | Ambulatory Health Care Facilities |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
CMM70708F | CA | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
G91341 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ENVOY SITE ID | ENVOY3000 | 01 |
| CA | EAPC | EAP70708F | 01 |
| CA | CMM70708F | 05 |
| Other Name | Type Code |
|---|---|
| SAC SAN BERNARDINO CAMPUS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299204 | Sac Health System | Clinic/Center | 84110 Manila Ave # B, Indio, CA 92201-7128 | 2019-08-07 |
| 1982164877 | Sac Health System | Clinic/Center | 781 W 2nd St Ste A, San Bernardino, CA 92410-3279 | 2019-03-25 |
| 1013935923 | Sac Health System | Clinic/Center | 1293 N D St, San Bernardino, CA 92405-4734 | 2006-07-18 |
| 1164045522 | Sac Health System | Clinic/Center | 28078 Baxter Rd Ste 540, Murrieta, CA 92563-1405 | 2020-05-20 |
| 1386266112 | Sac Health System | Clinic/Center | 815 S Willow Ave, Rialto, CA 92376-6934 | 2020-05-14 |
| 1528693504 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1437784410 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1235784166 | Sac Health System | Clinic/Center | 47470 Van Buren St, Indio, CA 92201-7139 | 2019-08-07 |
| 1043721939 | Sac Health System | Family Medicine | 250 S G St, San Bernardino, CA 92410-3320 | 2017-10-18 |
| 1831624493 | Sac Health System | Clinic/Center | 82934 Civic Center Dr, Indio, CA 92201-4308 | 2017-04-20 |
| Street Address |
250 SOUTH G STREET |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| 1396095105 | Oswald Manuel Vargas | Marriage & Family Therapist | 1053 North D St, San Bernardino, CA 92410 | 2012-09-19 |
| Find all providers in zip 92410 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255971651 | Borrego Community Health Foundation | Clinic/Center | 7576 Sterling Ave # C7d, San Bernardino, CA 92410-4273 | 2020-01-14 |
| 1730748922 | Unicare Community Health Center Inc | Clinic/Center | 184 E Highland Ave, San Bernardino, CA 92404-3658 | 2019-06-11 |
| 1265854061 | Unicare Community Health Center, Inc. | Clinic/Center | 570 S Mount Vernon Ave, Suite G, San Bernardino, CA 92410-2760 | 2014-01-13 |
| 1255523759 | Whitney Young Family Health Clinic | Clinic/Center | 1755 Maple St, San Bernardino, CA 92411-2441 | 2007-08-17 |
| 1336789890 | Borrego Community Health Foundation | Clinic/Center | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2020-01-13 |
| 1861032328 | Borrego Community Health Foundation | Clinic/Center | 1574 W Base Line St Ste 107, San Bernardino, CA 92411-1736 | 2020-01-13 |
| 1205393238 | Unicare Community Health Center Inc | Clinic/Center | 190 E Highland Ave, San Bernardino, CA 92404-3658 | 2019-02-26 |
| 1841437241 | H Street Clinic Inc | Clinic/Center | 1329 N H St, San Bernardino, CA 92405-5039 | 2009-01-07 |
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| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
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| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
Please comment or provide details below to improve the information on SAC HEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.