SAC HEALTH SYSTEM (NPI# 1013935915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013935915 |
| Entity Type | Organization |
| Organization Name | SAC HEALTH SYSTEM |
| Other Organization Name | SAC NORTON COMMUNITY |
| Practice Address |
1454 E 2nd St San Bernardino CA 92408-0118 |
| Practice Telephone | 9093827100 |
| Practice Fax Number | 9093827136 |
| Mailing Telephone | 9093827100 |
| Mailing Fax Number | 9093827136 |
| Enumeration Date | 2006-07-18 |
| 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 | 261QC1500X |
Clinic/Center Specialization: Community Health |
CMM70708F | CA | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
G91341 | CA | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CMM70708F | 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 | CMM70708F | 05 | |
| CA | EAPC | EAP70708F | 01 |
| Other Name | Type Code |
|---|---|
| SAC Norton Community | Other Name - Individual/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 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 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 |
| Street Address |
1454 E 2ND ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-0118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679575682 | Joycelyn Mallari | Pharmacist | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2005-08-10 |
| 1679031595 | Genice L Schumann | Nurse Practitioner | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2019-03-10 |
| 1851704605 | Hang Lee | Nurse Practitioner | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2014-06-10 |
| 1407282676 | Maryellen Westerberg | Dietitian, Registered | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2013-09-19 |
| 1194048835 | Daniel Ninan | Dentist | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2010-03-09 |
| 1295907392 | Susan O'brien Wallace | Counselor | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2008-03-28 |
| 1528241916 | Roxana Pomeroy | Dentist | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2007-12-09 |
| 1922298744 | Linda Marie War | Counselor | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2007-07-27 |
| 1164612982 | Patrick Tobin | Counselor | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2007-07-27 |
| 1689896821 | Donna Smith-burgess | Marriage & Family Therapist | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 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 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 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 | 92408 |
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.