SAN GORGONIO MEMORIAL HEALTH CARE DISTRICT
NPI 1194243642
Clinic/Center - Multi-Specialty in Banning, CA

Q: What is San Gorgonio Memorial Health Care District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 05, 2017

264 N HIGHLAND SPRINGS AVE STE 3D, BANNING, CA 92220(951) 846-2877(951) 846-2876 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2026, Nov 22, 2024, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About San Gorgonio Memorial Health Care District NPPES

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

SAN GORGONIO MEMORIAL HEALTH CARE DISTRICT (NPI 1194243642), doing business as San Gorgonio Memorial Medical Clinic, is a healthcare organization registered as a multi-specialty in Banning, California and active in the NPI registry since September 2017. The organization lists Angela Brady, Chief Nursing Executive/vp, as its authorized official.

NPPES Registry Identity

NPI1194243642

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameSAN GORGONIO MEMORIAL HEALTH CARE DISTRICT

Location Address264 N HIGHLAND SPRINGS AVE STE 3DBanning, CA 92220-3085

Mailing Address264 N Highland Springs Ave Ste 3dBanning, CA 92220-3085 · (951) 769-4897 · Fax (951) 848-7985

Phone(951) 846-2877

Fax(951) 846-2876

Organization SubpartNo

Authorized OfficialAngela BradyChief Nursing Executive/vp · (517) 692-1859

Enumeration DateSeptember 5, 2017

Last NPPES UpdateJanuary 26, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1194243642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

264 N HIGHLAND SPRINGS AVE STE 3D, Banning, CA 92220

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Other Names 1

Doing Business AsSan Gorgonio Memorial Medical Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Gorgonio Memorial Health Care District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to San Gorgonio Memorial Health Care District, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

David Cherng, DO

Family Practice

NPI 1528718798

33758 YUCAIPA BLVD
Yucaipa, CA 92399

(909) 793-3311

✔ PECOS✔ Accepts Medicare10 mi

Crystal Pruitt, MD

Obstetrics/Gynecology

NPI 1215357793

11370 ANDERSON ST STE 3900
Loma Linda, CA 92354

(909) 558-2806

✔ PECOS✔ Accepts Medicare20 mi

Hrant Gevorgian, MD, MPH

Emergency Medicine

NPI 1619541893

11234 ANDERSON ST.
Loma Linda, CA 92354

(877) 558-6248

✔ PECOS✔ Accepts Medicare20 mi

Jasleen Singh, MD

Family Practice

NPI 1811308109

41840 ENTERPRISE CIR N
Temecula, CA 92590

(951) 225-6400

✔ PECOS✔ Accepts Medicare31 mi

Brian Quach

Family Practice

NPI 1073262879

31700 TEMECULA PKWY STE 2
Temecula, CA 92592

(951) 600-4337

✔ PECOS✔ Accepts Medicare32 mi

Peter Wei, DO

Family Practice

NPI 1134707680

31700 TEMECULA PKWY STE 1
Temecula, CA 92592

(951) 331-2527

✔ PECOS✔ Accepts Medicare32 mi

Tatiana Hoeffer, MD

Family Practice

NPI 1487274825

5451 WALNUT AVE
Chino, CA 91710

(909) 464-8722

✔ PECOS✔ Accepts Medicare43 mi

Latasha Mason, MD

Obstetrics/Gynecology

NPI 1891843884

441 N LAKEVIEW AVE
Anaheim, CA 92807

(888) 988-2800

✔ PECOS50 mi

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 San Gorgonio Memorial Health Care District's NPI number?

The NPI number for San Gorgonio Memorial Health Care District is 1194243642. It was assigned to this organization in the NPPES registry on September 5, 2017. The provider is doing business as San Gorgonio Memorial Medical Clinic.

Where is San Gorgonio Memorial Health Care District located?

San Gorgonio Memorial Health Care District is located at 264 N Highland Springs Ave Ste 3D, Banning, CA 92220. The listed phone number is (951) 846-2877.

What is San Gorgonio Memorial Health Care District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is San Gorgonio Memorial Health Care District enrolled in Medicare?

Yes. San Gorgonio Memorial Health Care District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Gorgonio Memorial Health Care District?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to San Gorgonio Memorial Health Care District. 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 Family Practice (5), Obstetrics/Gynecology (2) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Gorgonio Memorial Health Care District was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.