1. Home
  2. Directory
  3. NPI Profile

RIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
NPI 1922686955
Clinic/Center - Federally Qualified Health Center (FQHC) in Mountain Center, CA

Active since March 31, 2021
65175 STATE HIGHWAY 74, MOUNTAIN CENTER, CA 92561(951) 823-8882 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1922686955), doing business as Santa Rosa Indian Health Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Mountain Center, California and active in the NPI registry since March 2021. The organization lists Mark Jensen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922686955
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Location Address65175 STATE HIGHWAY 74Mountain Center, CA 92561
Mailing Address11980 Mount Vernon AveGrand Terrace, CA 92313-5172 · (909) 864-1097 · Fax (951) 225-6879
Phone(951) 823-8882
Organization SubpartNo
Authorized OfficialMark JensenCfo · (909) 864-1097
Enumeration DateMarch 31, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1922686955 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
65175 STATE HIGHWAY 74, Mountain Center, CA 92561
Open in Google Maps ↗

Other Names 1

Doing Business AsSanta Rosa Indian Health Clinic

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 1922686955. It was assigned to this organization in the NPPES registry on March 31, 2021. The provider is doing business as Santa Rosa Indian Health Clinic.

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

Riverside/San Bernardino County Indian Health, Inc. is located at 65175 State Highway 74, Mountain Center, CA 92561. The listed phone number is (951) 823-8882.

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 March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.