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SOBOBA INDIAN HEALTH
NPI 1639222144
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jacinto, CA

Active since January 19, 2007
23119 SOBOBA WAY, SAN JACINTO, CA 92583(951) 676-6810(951) 676-0744 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Mar 9, 2021, Oct 26, 2016 (3 updates tracked since 2016).

About Soboba Indian Health NPPES

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

SOBOBA INDIAN HEALTH (NPI 1639222144) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jacinto, California and active in the NPI registry since January 2007. The organization lists William Thomsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639222144
Entity TypeOrganization
Primary Taxonomy261QF0400X
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 (909) 744-3960
Phone(951) 676-6810
Fax(951) 676-0744
Organization SubpartNo
Authorized OfficialWilliam ThomsenCeo · (909) 864-1097
Enumeration DateJanuary 19, 2007
Last NPPES UpdateApril 17, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1639222144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 250000055
23119 SOBOBA WAY, San Jacinto, CA 92583
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Other Names 1

Doing Business AsSoboba Indian Health

Other Identifiers 1

MedicaidFHC70271FCA

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
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Pharmacy (Clinic Pharmacy)
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

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 1639222144. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Soboba Indian Health.

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) 676-6810.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Riverside-San Bernardino County Indian Health, Inc. was last updated on April 17, 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.