MOUNTAINS COMMUNITY HOSPITAL
NPI 1245380799
General Acute Care Hospital - Critical Access in Lake Arrowhead, CA

Active since January 10, 2007
29101 HOSPITAL RD, LAKE ARROWHEAD, CA 92352(909) 336-3651(909) 336-1179 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2023, Nov 15, 2016 (2 updates tracked since 2016).

About Mountains Community Hospital NPPES

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

MOUNTAINS COMMUNITY HOSPITAL (NPI 1245380799) is a healthcare organization registered as a critical access in Lake Arrowhead, California and active in the NPI registry since January 2007. The organization lists Yvonne D Waggener, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245380799
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameSAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Location Address29101 HOSPITAL RDLake Arrowhead, CA 92352-0070
Mailing AddressPo Box 70Lake Arrowhead, CA 92352-0070 · (909) 336-3651 · Fax (909) 336-1179
Fax(909) 336-1179
Organization SubpartNo
Authorized OfficialYvonne D WaggenerCfo · (909) 336-3651
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1245380799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
Licenses✔ Licensed in CA · HSP30260I✔ Licensed in CA · CGP160427✔ Licensed in CA · HSP40260I✔ Licensed in CA · CGP171049✔ Licensed in CA · PHB366420
29101 HOSPITAL RD, Lake Arrowhead, CA 92352

Other Names 1

Doing Business AsMountains Community Hospital

Other Identifiers 5

MedicaidCGP171049CA
MedicaidHSP30260ICA
MedicaidHSP40260ICA
MedicaidCGP160427CA
MedicaidPHB366420CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountains Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Mountains Community Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner5
Certified Registered Nurse Anesthetist (CRNA)2
Clinical Social Worker1
Emergency Medicine1
General Surgery1
Internal Medicine1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1841908597
29101 HOSPITAL RD
Lake Arrowhead, CA 92352
(909) 336-3651
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1902164304
29101 HOSPITAL RD
Lake Arrowhead, CA 92352
(909) 436-3235
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1588676811
29101 HOSPITAL RD
Lake Arrowhead, CA 92352
(909) 336-9715
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1346568599
29099 HOSPITAL RD SUITE 210
Lake Arrowhead, CA 92352
(909) 436-3033
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053503326
802 E COLTON AVE SUITE E
Redlands, CA 92374
(909) 335-5799
✔ PECOS✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225426992
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1000
17 mi
Internal Medicine
NPI 1558362467
1770 N ORANGE GROVE AVE SUTIE 101
Pomona, CA 91767
(909) 469-9494
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1326088527
710 N BREA BLVD SUITE G
Brea, CA 92821
(714) 671-1150
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1578855169
4955 VAN NUYS BLVD SUITE 704
Sherman Oaks, CA 91403
(818) 789-6196
✔ PECOS✔ Accepts Medicare74 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932507704
1800 N CALIFORNIA ST
Stockton, CA 95204
(310) 890-0169
344 mi
Nurse Practitioner
NPI 1144864679
510 PLAZA DR STE 170
Folsom, CA 95630
(916) 351-9400
✔ PECOS✔ Accepts Medicare376 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 Bernardino Mountains Community Hospital District's NPI number?

The NPI number for San Bernardino Mountains Community Hospital District is 1245380799. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as Mountains Community Hospital.

Where is San Bernardino Mountains Community Hospital District located?

San Bernardino Mountains Community Hospital District is located at 29101 Hospital Rd, Lake Arrowhead, CA 92352. The listed phone number is (909) 336-3651.

What is San Bernardino Mountains Community Hospital District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is San Bernardino Mountains Community Hospital District enrolled in Medicare?

Yes. San Bernardino Mountains Community Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Bernardino Mountains Community Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to San Bernardino Mountains Community Hospital 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 Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (2) and Clinical Social Worker (1). Of these, 4 practice at this address. 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 Bernardino Mountains Community Hospital District was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.