SAC HEALTH SYSTEM (NPI# 1164045522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164045522 |
| Entity Type | Organization |
| Organization Name | SAC HEALTH SYSTEM |
| Practice Address |
28078 Baxter Rd Ste 540 Murrieta CA 92563-1405 |
| Mailing Address |
250 S G St San Bernardino CA 92410-3320 |
| Practice Telephone | 9093827100 |
| Practice Fax Number | 9093827101 |
| Mailing Telephone | 9093827100 |
| Mailing Fax Number | 9093827101 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | TASHA AMICK (DIRECTOR 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 |
Ambulatory Health Care Facilities | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM70708F | 05 | |
| CA | EAPC | EAP70708F | 01 |
| CA | ENVOY SITE ID | ENVOY3000 | 01 |
| 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 |
| 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 |
28078 BAXTER RD STE 540 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346665312 | Deborah Charleen Campbell | Registered Nurse | 28078 Baxter Rd Ste 540, Murrieta, CA 92563-1405 | 2014-02-27 |
| 1336565258 | Cynthia Mantia | Registered Nurse | 28078 Baxter Rd Ste 540, Murrieta, CA 92563-1405 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| 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.