SAN GORGONIO MEMORIAL HOSPITAL
NPI 1003939711
Skilled Nursing Facility in Banning, CA

Active since April 09, 2007CLIA 05D0060931 · Accreditation
600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220(951) 845-1121(951) 469-0431 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Gorgonio Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN GORGONIO MEMORIAL HOSPITAL (NPI 1003939711) is a healthcare organization registered as a skilled nursing facility in Banning, California and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Jonathan Brenn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003939711
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSAN GORGONIO MEMORIAL HOSPITAL
Location Address600 N HIGHLAND SPRINGS AVEBanning, CA 92220-3046
Mailing Address600 N Highland Springs AveBanning, CA 92220-3046 · (951) 845-1121 · Fax (951) 469-0431
Fax(951) 469-0431
Organization SubpartNo
Authorized OfficialJonathan BrennCeo · (951) 769-2100
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1003939711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · CA250001668
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
600 N HIGHLAND SPRINGS AVE, Banning, CA 92220

Other Identifiers 2

Other555722CA · Medicare Snf Provider No
OtherLTC555722FCA · Medicaid Snf Provider No

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0060931

San Gorgonio Memorial Hospital · Banning, CA
Active · expires Jan 2, 2027
CLIA Number05D0060931
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorMark Beck, MD
Laboratory Phone(951) 845-1121
Laboratory LocationSan Gorgonio Memorial Hospital600 N Highland Spring Ave, Banning, CA 92220
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220
Pharmacist
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220
Physician Assistant
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220
Physician Assistant
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220
Pediatrics (Neonatal-Perinatal Medicine)
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220
Emergency Medicine
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220
Pharmacist
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220
Emergency Medicine
600 N HIGHLAND SPRINGS AVE
BANNING, CA 92220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Gorgonio Memorial Hospital's NPI number?

The NPI number for San Gorgonio Memorial Hospital is 1003939711. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is San Gorgonio Memorial Hospital located?

San Gorgonio Memorial Hospital is located at 600 N Highland Springs Ave, Banning, CA 92220. The listed phone number is (951) 845-1121.

What is San Gorgonio Memorial Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does San Gorgonio Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0060931) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Gorgonio Memorial Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.