SAC HEALTH SYSTEM
NPI 1386266112
Clinic/Center - Federally Qualified Health Center (FQHC) in Rialto, CA

Active since May 14, 2020
815 S WILLOW AVE, RIALTO, CA 92376(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: October 18, 2026.

Record update history: Sep 1, 2022, May 14, 2020 (2 updates tracked since 2020).

About Sac Health System NPPES

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

SAC HEALTH SYSTEM (NPI 1386266112) is a healthcare organization registered as a federally qualified health center (fqhc) in Rialto, California and active in the NPI registry since May 2020. The organization lists Tasha Amick, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1386266112
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAC HEALTH SYSTEM
Location Address815 S WILLOW AVERialto, CA 92376-6934
Mailing Address815 S Willow AveRialto, CA 92376-6934 · (909) 382-7100 · Fax (909) 382-7101
Fax(909) 382-7101
Organization SubpartYes
Authorized OfficialTasha AmickDirector Of Billing · (909) 382-7100
Enumeration DateMay 14, 2020
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1386266112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
815 S WILLOW AVE, Rialto, CA 92376

Other Identifiers 3

MedicaidCMM70708FCA
OtherENVOY3000CA · Envoy Site Id
OtherEAP70708FCA · Eapc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sac Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

453

Medicare enrollment records show 453 clinicians reassign Medicare billing to Sac Health System, which bills Medicare for the services they deliver. Of these, 305 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Pediatric Medicine70
Family Practice53
Obstetrics/Gynecology30
Nurse Practitioner29
Neurology24
Clinical Social Worker23
Otolaryngology21
Psychiatry18
33 other specialties185

Nearest to this location (20)

See all 453
Nurse Practitioner
NPI 1649797846
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 874-2371
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1124586755
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare1.4 mi
Nephrology
NPI 1962611897
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1000
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1356470314
1454 E 2ND ST
San Bernardino, CA 92408
(909) 382-7146
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1629231147
17051 SIERRA LAKES PKWY SUITE 101
Fontana, CA 92336
(909) 428-2040
✔ PECOS✔ Accepts Medicare3.7 mi
Obstetrics/Gynecology
NPI 1629145537
9961 SIERRA AVE
Fontana, CA 92335
(909) 427-3910
✔ PECOS✔ Accepts Medicare4.4 mi
Family Practice
NPI 1093863912
9961 SIERRA AVE
Fontana, CA 92335
(909) 427-3910
✔ PECOS4.4 mi
Family Practice
NPI 1568533453
9961 SIERRA AVE
Fontana, CA 92335
(909) 427-3910
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1679560346
742 W HIGHLAND AVE
San Bernardino, CA 92405
(909) 881-7320
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1083008254
742 W HIGHLAND AVE
San Bernardino, CA 92405
(909) 881-7320
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1548691736
250 S G ST
San Bernardino, CA 92410
(909) 651-7510
✔ PECOS4.6 mi
Clinical Psychologist
NPI 1760515886
250 S G ST
San Bernardino, CA 92410
(909) 558-1000
✔ PECOS4.6 mi
Clinical Psychologist
NPI 1336534569
665 N D ST
San Bernardino, CA 92401
(909) 881-6146
✔ PECOS✔ Accepts Medicare4.8 mi
Family Practice
NPI 1558915694
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare5.0 mi
Clinical Social Worker
NPI 1942639711
237 W MILL ST
San Bernardino, CA 92408
(909) 388-5600
✔ PECOS5.2 mi
Nurse Practitioner
NPI 1932594678
2150 N WATERMAN AVE
San Bernardino, CA 92404
(909) 881-4115
✔ PECOS✔ Accepts Medicare5.6 mi
Family Practice
NPI 1548337918
1454 E 2ND ST
San Bernardino, CA 92408
(909) 382-7180
✔ PECOS✔ Accepts Medicare6.2 mi
Preventive Medicine
NPI 1144277526
1454 E 2ND ST
San Bernardino, CA 92408
(909) 382-7146
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1093491193
2195 CLUB CENTER DR STE L
San Bernardino, CA 92408
(909) 558-2154
✔ PECOS6.4 mi
Nephrology
NPI 1437125440
250 E CAROLINE ST SUITE J
San Bernardino, CA 92408
(909) 651-1904
✔ PECOS✔ Accepts Medicare6.4 mi
See all 453 clinicians

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 Sac Health System's NPI number?

The NPI number for Sac Health System is 1386266112. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Sac Health System located?

Sac Health System is located at 815 S Willow Ave, Rialto, CA 92376. 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.

Is Sac Health System enrolled in Medicare?

Yes. Sac Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sac Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 453 clinicians in 41 Medicare specialties reassign their Medicare billing to Sac Health System. 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 Pediatric Medicine (70), Family Practice (53) and Obstetrics/Gynecology (30). Of these, 305 practice 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 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 18 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.