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RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
NPI 1487855045
Pharmacy - Clinic Pharmacy in San Jacinto, CA

Active since May 30, 2007
23119 SOBOBA WAY, SAN JACINTO, CA 92583(951) 654-0803(951) 654-9387 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, May 1, 2023, Aug 25, 2021 and 3 more (6 updates tracked since 2017).

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 1487855045), doing business as Soboba Indian Clinic Pharmacy, is a healthcare organization registered as a clinic pharmacy in San Jacinto, California and active in the NPI registry since May 2007. The organization lists Jeevan Dhouni, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1487855045
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameRIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Location Address23119 SOBOBA WAYSan Jacinto, CA 92583-5517
Mailing Address11980 Mount Vernon AveGrand Terrace, CA 92313-5172 · (909) 864-1097 · Fax (951) 225-6879
Phone(951) 654-0803
Fax(951) 654-9387
Organization SubpartNo
Authorized OfficialJeevan DhouniDirector Of Pharmacy · (909) 864-1097
Enumeration DateMay 30, 2007
Last NPPES UpdateSeptember 11, 20256 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1487855045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
23119 SOBOBA WAY, San Jacinto, CA 92583
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Other Names 1

Doing Business AsSoboba Indian Clinic Pharmacy

Other Identifiers 2

Other2005498Pk
MedicaidFHC03854FCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
23119 SOBOBA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
DR. QUINTEN GERALD ROWLEY
Podiatrist (Foot & Ankle Surgery)
23119 SOBOBA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
23119 SOBOBA WAY
SAN JACINTO, CA 92583
Riverside County (951) 676-6810

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 1487855045. It was assigned to this organization in the NPPES registry on May 30, 2007. The provider is doing business as Soboba Indian Clinic Pharmacy.

Where is Riverside-San Bernardino County Indian Health, Inc. located?

Riverside-San Bernardino County Indian Health, Inc. is located at 23119 Soboba Way, San Jacinto, CA 92583. The listed phone number is (951) 654-0803.

What is Riverside-San Bernardino County Indian Health, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Riverside-San Bernardino County Indian Health, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 42 other insurers list Riverside-San Bernardino County Indian Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside-San Bernardino County Indian Health, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.