SAC HEALTH SYSTEM
NPI 1386299204
Clinic/Center - Federally Qualified Health Center (FQHC) in Indio, CA

Active since August 07, 2019
84110 MANILA AVE # B, INDIO, CA 92201(909) 382-7100 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2022, Mar 10, 2020, Aug 7, 2019 (3 updates tracked since 2019).

About Sac Health System NPPES

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

SAC HEALTH SYSTEM (NPI 1386299204), doing business as Sac Indio Cvrm Manila, is a healthcare organization registered as a federally qualified health center (fqhc) in Indio, California and active in the NPI registry since August 2019. The organization lists Tasha Amick, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1386299204
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAC HEALTH SYSTEM
Location Address84110 MANILA AVE # BIndio, CA 92201-7128
Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 382-7100 · Fax (909) 382-7101
Organization SubpartNo
Authorized OfficialTasha AmickDirector Of Billing · (909) 382-7100
Enumeration DateAugust 7, 2019
Last NPPES UpdateApril 21, 20253 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1386299204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
84110 MANILA AVE # B, Indio, CA 92201

Other Names 1

Doing Business AsSac Indio Cvrm Manila

Other Identifiers 3

MedicaidCMM70708FCA
OtherEAP70708FCA · Eapc
OtherENVOY3000CA · Envoy Site Id

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, 3 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
Clinical Social Worker
NPI 1033946363
47470 VAN BUREN ST
Indio, CA 92201
(760) 477-0733
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1881138907
82934 CIVIC CENTER DR
Indio, CA 92201
(760) 477-0733
✔ PECOS✔ Accepts Medicare1.6 mi
Clinical Social Worker
NPI 1760864847
82934 CIVIC CENTER DR
Indio, CA 92201
(760) 477-0733
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1962279778
387 PASEO VISTA CIR
Palm Desert, CA 92260
(951) 662-4712
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1659624948
4050 AIRPORT CENTER DR STE B2
Palm Springs, CA 92264
(760) 674-7188
✔ PECOS19 mi
Nurse Practitioner
NPI 1265063416
1150 N INDIAN CANYON DR
Palm Springs, CA 92262
(760) 323-6430
✔ PECOS22 mi
Clinical Social Worker
NPI 1447788989
1330 W RAMSEY ST # 100
Banning, CA 92220
(951) 849-7142
✔ PECOS43 mi
Family Practice
NPI 1154674877
81 HIGHLAND SPRINGS AVE STE 303
Beaumont, CA 92223
(951) 849-3375
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1770095804
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare52 mi
Clinical Psychologist
NPI 1598997678
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare52 mi
Addiction Medicine
NPI 1013084821
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare52 mi
Pediatric Medicine
NPI 1346412244
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS52 mi
Pulmonary Disease
NPI 1346497245
12047 4TH ST
Yucaipa, CA 92399
(840) 258-0972
✔ PECOS✔ Accepts Medicare54 mi
Hospitalist
NPI 1649204009
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-5700
✔ PECOS✔ Accepts Medicare59 mi
Rheumatology
NPI 1356724074
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-4000
✔ PECOS✔ Accepts Medicare59 mi
Infectious Disease
NPI 1770003519
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-4000
✔ PECOS59 mi
Anesthesiology
NPI 1528478989
26520 CACTUS AVE
Moreno Valley, CA 92555
(951) 486-4574
✔ PECOS✔ Accepts Medicare59 mi
Otolaryngology
NPI 1417417510
259 TERRACINA BLVD
Redlands, CA 92373
(909) 335-4102
✔ PECOS✔ Accepts Medicare62 mi
Psychiatry
NPI 1720348659
23119 COTTONWOOD AVE STE 100
Moreno Valley, CA 92553
(951) 318-7386
✔ PECOS✔ Accepts Medicare63 mi
Cardiovascular Disease (Cardiology)
NPI 1265847214
2068 ORANGE TREE LN STE 215
Redlands, CA 92374
(909) 558-4200
✔ PECOS✔ Accepts Medicare64 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 1386299204. It was assigned to this organization in the NPPES registry on August 7, 2019. The provider is doing business as SAC Indio CVRM Manila.

Where is Sac Health System located?

Sac Health System is located at 84110 Manila Ave # B, Indio, CA 92201. 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, 3 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.