SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
NPI 1083063663
Public Health or Welfare in San Bernardino, CA

Active since June 06, 2016CLIA Certified · 2 labs
1505 SOUTH D STREET, SAN BERNARDINO, CA 92415(909) 524-1585 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Bernardino County Department Of Public Health NPPES

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

SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH (NPI 1083063663) is a healthcare organization registered as a public health or welfare in San Bernardino, California and active in the NPI registry since June 2016. The organization holds 2 active CLIA laboratory certificates and lists Donna Panganiban, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1083063663
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
Location Address1505 SOUTH D STREETSan Bernardino, CA 92415
Mailing Address826 Amber Oaks CirclePomona, CA 91767
Organization SubpartNo
Authorized OfficialDonna PanganibanRegistered Dietitian · (909) 524-1585
Enumeration DateJune 6, 2016
NPI 1083063663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License Licensed in CA · 86037189
1505 SOUTH D STREET, San Bernardino, CA 92415

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 05D2172299

San Bernardino County Department Of Public Health · San Bernardino, CA
Active · expires Sep 18, 2027
CLIA Number05D2172299
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorMaxwell Ohikhuare
Laboratory Phone(800) 722-4794
Laboratory LocationSan Bernardino County Department Of Public Health351 North Mt. View Room 104, San Bernardino, CA 92415
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0895485

San Bernardino County Department Of Public Health · San Bernardino, CA
Active · expires Dec 8, 2026
CLIA Number05D0895485
Laboratory TypePublic Health Laboratories
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorSharon Wang
Laboratory Phone(909) 387-6465
Laboratory LocationSan Bernardino County Department Of Public Health590 N D Street, San Bernardino, CA 92401
CLIA data matches this NPI record on: Name
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 San Bernardino County Department Of Public Health's NPI number?

The NPI number for San Bernardino County Department Of Public Health is 1083063663. It was assigned to this organization in the NPPES registry on June 6, 2016.

Where is San Bernardino County Department Of Public Health located?

San Bernardino County Department Of Public Health is located at 1505 South D Street, San Bernardino, CA 92415. The listed phone number is (909) 524-1585.

What is San Bernardino County Department Of Public Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does San Bernardino County Department Of Public Health hold CLIA laboratory certificates?

Yes. 2 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 San Bernardino County Department Of Public Health was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.