RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
NPI 1174676670
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Terrace, CA
About Riverside-san Bernardino County Indian Health, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC. (NPI 1174676670), doing business as San Manuel Indian Health, is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Terrace, California and active in the NPI registry since January 2007. The organization lists Mark Daniel Lebeau, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverside-san Bernardino County Indian Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
100Medicare enrollment records show 100 clinicians reassign Medicare billing to Riverside-San Bernardino County Indian Health, Inc., which bills Medicare for the services they deliver. Of these, 13 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 100Grand Terrace, CA 92313
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Riverside-San Bernardino County Indian Health, Inc.'s NPI number?
The NPI number for Riverside-San Bernardino County Indian Health, Inc. is 1174676670. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as San Manuel Indian Health.
Where is Riverside-San Bernardino County Indian Health, Inc. located?
Riverside-San Bernardino County Indian Health, Inc. is located at 11980 Mount Vernon Ave, Grand Terrace, CA 92313. The listed phone number is (909) 864-1097.
What is Riverside-San Bernardino County Indian Health, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Riverside-San Bernardino County Indian Health, Inc. enrolled in Medicare?
Yes. Riverside-San Bernardino County Indian Health, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside-San Bernardino County Indian Health, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 100 clinicians in 14 Medicare specialties reassign their Medicare billing to Riverside-San Bernardino County Indian Health, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Family Practice (20) and Optometry (13). Of these, 13 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Riverside-San Bernardino County Indian Health, Inc. was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Riverside-San Bernardino County Indian Health, Inc. · NPI 1174676670
Federally Qualified Health Center (FQHC) organization in Grand Terrace, California. Organization record, active in the CMS NPPES registry since January 19, 2007.
## Identity
- **NPI:** 1174676670 (Entity type: Organization)
- **Enumerated:** January 19, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** San Manuel Indian Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mark Lebeau, CEO
## Practice location
- **Address:** 11980 MOUNT VERNON AVE, Grand Terrace, CA 92313-5172
- **Phone:** (909) 864-1097 · **Fax:** (909) 744-3960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 100 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (20), Optometry (13); 13 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1174676670/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2026
- **Other identifiers:** Medicaid FHC03869F (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174676670) · Data from the CMS NPPES public registry.