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SAC HEALTH SYSTEM
NPI 1649547944
Clinic/Center - Federally Qualified Health Center (FQHC) in San Bernardino, CA

Active since November 30, 2011
488 S K ST, SAN BERNARDINO, CA 92410(909) 382-7100(909) 386-7910 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, Aug 5, 2021, Mar 10, 2020 (3 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 1649547944) is a healthcare organization registered as a federally qualified health center (fqhc) in San Bernardino, California and active in the NPI registry since November 2011. The organization lists Tasha Amick, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1649547944
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAC HEALTH SYSTEM
Location Address488 S K STSan Bernardino, CA 92410-2641
Mailing Address488 S K StSan Bernardino, CA 92410-2641 · (909) 383-8092 · Fax (909) 386-7910
Phone(909) 382-7100
Fax(909) 386-7910
Organization SubpartNo
Authorized OfficialTasha AmickDirector Of Billing · (909) 382-7100
Enumeration DateNovember 30, 2011
Last NPPES UpdateApril 21, 20253 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1649547944 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 · License CMM70744F (CA)
488 S K ST, San Bernardino, CA 92410
Open in Google Maps ↗

Other Identifiers 1

MedicaidCMM70744FCA

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, 12 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
Malena Chappell-Brass, NP
Nurse Practitioner
NPI 1770095804
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Kathryn Davis, PSY.D.
Clinical Psychologist
NPI 1598997678
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Reynaldo Gamo, RN
Nurse Practitioner
NPI 1740873652
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Nadine Grace-Abraham, MD
Family Practice
NPI 1770112781
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Hugo Leon, M.D.
Family Practice
NPI 1114030095
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Irving Lopez, LCSW
Clinical Social Worker
NPI 1164117917
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS0.2 mi
Joshua Masih, PMHNP
Nurse Practitioner
NPI 1407494750
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Erika Perez, LCSW
Clinical Social Worker
NPI 1801037346
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Cindy Valverde, MD
Family Practice
NPI 1487232856
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Ian Walters, MD, MA
Family Practice
NPI 1689249427
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Robert Watrous, MD
Addiction Medicine
NPI 1013084821
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Matthew Fong, M.D.
Pediatric Medicine
NPI 1346412244
250 S G ST
San Bernardino, CA 92410
(909) 382-7100
✔ PECOS0.2 mi
Jessica Willemse, NP-C
Nurse Practitioner
NPI 1831594670
34845 YUCAIPA BLVD
Yucaipa, CA 92399
(909) 500-7971
✔ PECOS✔ Accepts Medicare20 mi
Paresh Giri, M.D.
Pulmonary Disease
NPI 1346497245
12047 4TH ST
Yucaipa, CA 92399
(840) 258-0972
✔ PECOS✔ Accepts Medicare20 mi
Samara Cardona Espinoza
Clinical Social Worker
NPI 1447788989
1330 W RAMSEY ST # 100
Banning, CA 92220
(951) 849-7142
✔ PECOS23 mi
Michael Coen, M.D.
Orthopedic Surgery
NPI 1023047438
7000 BOULDER AVE
Highland, CA 92346
(909) 862-1191
✔ PECOS✔ Accepts Medicare23 mi
Candice Lee-Wang, MD
Family Practice
NPI 1396184685
264 N HIGHLAND SPRINGS AVE STE 4
Banning, CA 92220
(951) 769-0079
✔ PECOS24 mi
Akshat Jain, MD
Pediatric Medicine
NPI 1700150885
1338 E PALM AVE
Redlands, CA 92374
(917) 331-3216
✔ PECOS✔ Accepts Medicare24 mi
Maged Melek, M.D.
Family Practice
NPI 1154674877
81 HIGHLAND SPRINGS AVE STE 303
Beaumont, CA 92223
(951) 849-3375
✔ PECOS✔ Accepts Medicare24 mi
Priya Krishna, MD
Otolaryngology
NPI 1730153172
1895 ORANGE TREE LN STE 102
Redlands, CA 92374
(909) 558-2600
✔ PECOS✔ Accepts Medicare26 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 1649547944. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Sac Health System located?

Sac Health System is located at 488 S K St, San Bernardino, CA 92410. 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, 12 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.