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SAC HEALTH SYSTEM
NPI 1043721939
Family Medicine in San Bernardino, CA

Active since October 18, 2017CLIA 05D2322736 · Microscopy
250 S G ST, SAN BERNARDINO, CA 92410(909) 382-7100(909) 382-7115 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sac Health System NPPES

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

SAC HEALTH SYSTEM (NPI 1043721939) is a healthcare organization registered as a family medicine in San Bernardino, California and active in the NPI registry since October 2017. The organization holds a CLIA Microscopy certificate valid through April 24, 2027 and lists Angela Teresi, Human Resource Supervisior, as its authorized official.

NPPES Registry Identity

NPI1043721939
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAC HEALTH SYSTEM
Location Address250 S G STSan Bernardino, CA 92410-3320
Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 382-7100 · Fax (909) 382-7115
Phone(909) 382-7100
Fax(909) 382-7115
Organization SubpartNo
Authorized OfficialAngela TeresiHuman Resource Supervisior · (909) 771-2764
Enumeration DateOctober 18, 2017
✔ NPI 1043721939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 450731
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
250 S G ST, San Bernardino, CA 92410
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2322736

Sac Health System Blythe 110 · Blythe, CA
Active · expires Apr 24, 2027
CLIA Number05D2322736
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorJames Crounse
Laboratory Phone(909) 382-7100
Laboratory LocationSac Health System Blythe 110126 North Spring Suite 110, Blythe, CA 92225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

ROBERT WILLIAM WATROUS MD
Family Medicine (Addiction Medicine)
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
ALENA NOELLE DEVAUGHN
Student in an Organized Health Care Education/Training Program
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
KIMBERLY-NICOLLE VALDEZ SINGNGAM
Nurse Practitioner (Pediatrics)
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
EHREN NGO
Emergency Medical Technician, Paramedic
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 771-2830
AANTUU MENGISTU
Psychologist
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
MFI RECOVERY CENTER
Substance Abuse Rehabilitation Facility
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (951) 683-6596
RIAN JAMES BLACKWOOD DO
Family Medicine
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-1700
DR. KARIN CECILIA ULLTJAERN DNP, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100

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 Sac Health System's NPI number?

The NPI number for Sac Health System is 1043721939. It was assigned to this organization in the NPPES registry on October 18, 2017.

Where is Sac Health System located?

Sac Health System is located at 250 S G St, San Bernardino, CA 92410. The listed phone number is (909) 382-7100.

What is Sac Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sac Health System hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2322736) is associated with this NPI, valid through April 24, 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 Sac Health System was last updated on October 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.