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SAC HEALTH SYSTEM
NPI 1063280642
Clinic/Center - Federally Qualified Health Center (FQHC) in Barstow, CA

Active since December 13, 2023CLIA Certified · 4 labs
801 E MOUNTAIN VIEW ST # 102, BARSTOW, CA 92311(909) 382-7100(909) 382-7101 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 12, 2024, Dec 13, 2023 (2 updates tracked since 2023).

About Sac Health System NPPES

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

SAC HEALTH SYSTEM (NPI 1063280642), doing business as Sac Barstow 102, is a healthcare organization registered as a federally qualified health center (fqhc) in Barstow, California and active in the NPI registry since December 2023. The organization holds 4 active CLIA laboratory certificates and lists Tasha Amick, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1063280642
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAC HEALTH SYSTEM
Location Address801 E MOUNTAIN VIEW ST # 102Barstow, CA 92311-3053
Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 382-7100 · Fax (909) 382-7101
Phone(909) 382-7100
Fax(909) 382-7101
Organization SubpartYes
Authorized OfficialTasha AmickDirector Of Billing · (909) 219-8665
Enumeration DateDecember 13, 2023
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1063280642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
801 E MOUNTAIN VIEW ST # 102, Barstow, CA 92311
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Other Names 1

Doing Business AsSac Barstow 102

CLIA Laboratory Certificates CMS CLIA 4

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) 05D2307665

Sac Health System Brier · San Bernardino, CA
Active · expires Jul 11, 2028
CLIA Number05D2307665
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorBonnie Chi-Lum
Laboratory Phone(909) 382-7100
Laboratory LocationSac Health System Brier1003 East Brier Dr, San Bernardino, CA 92408
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2306972

Sac Health System Murrieta #430 · Murrieta, CA
Active · expires Jun 26, 2028
CLIA Number05D2306972
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorBonnie Chi-Lum
Laboratory Phone(909) 382-7100
Laboratory LocationSac Health System Murrieta #43028078 Baxter Rd., Ste 430, Murrieta, CA 92563
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0910668

Sac Health System · San Bernardino, CA
Active · expires Feb 13, 2028
CLIA Number05D0910668
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorDavid C. Ahamba
Laboratory Phone(909) 382-7100
Laboratory LocationSac Health System1454 E 2nd Street, San Bernardino, CA 92408
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.

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.

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 1063280642. It was assigned to this organization in the NPPES registry on December 13, 2023. The provider is doing business as SAC Barstow 102.

Where is Sac Health System located?

Sac Health System is located at 801 E Mountain View St # 102, Barstow, CA 92311. The listed phone number is (909) 382-7100.

What is Sac Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Sac Health System hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sac Health System was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.