ST. JOHNS COMMUNITY HEALTH
NPI 1780376947
Clinic/Center - Federally Qualified Health Center (FQHC) in San Bernardino, CA
About St. Johns Community Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JOHNS COMMUNITY HEALTH (NPI 1780376947) is a healthcare organization registered as a federally qualified health center (fqhc) in San Bernardino, California and active in the NPI registry since May 2023. The organization lists Maria Socorro Genie, Executive Project Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Johns Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
402Medicare enrollment records show 402 clinicians reassign Medicare billing to St. Johns Community Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 402Source: 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 St. Johns Community Health's NPI number?
The NPI number for St. Johns Community Health is 1780376947. It was assigned to this organization in the NPPES registry on May 24, 2023.
Where is St. Johns Community Health located?
St. Johns Community Health is located at 1500 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (323) 541-1600.
What is St. Johns Community Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is St. Johns Community Health enrolled in Medicare?
Yes. St. Johns Community Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Johns Community Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 402 clinicians in 17 Medicare specialties reassign their Medicare billing to St. Johns Community Health. 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 Nurse Practitioner (185), Family Practice (61) and Dentist (36). Of these, 3 practice at this address and 6 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 St. Johns Community Health was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# St. Johns Community Health · NPI 1780376947
Federally Qualified Health Center (FQHC) organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since May 24, 2023.
## Identity
- **NPI:** 1780376947 (Entity type: Organization)
- **Enumerated:** May 24, 2023
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Maria Genie, EXECUTIVE PROJECT DIRECTOR
## Practice location
- **Address:** 1500 N WATERMAN AVE, San Bernardino, CA 92404-5111
- **Phone:** (323) 541-1600 · **Fax:** (323) 541-1661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 402 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (185), Family Practice (61), Dentist (36); 3 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1780376947/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780376947) · Data from the CMS NPPES public registry.