Riverside-San Bernardino County Indian Health, Inc.
NPI 1174676670 · Federally Qualified Health Center (FQHC) · Grand Terrace, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside-San Bernardino County Indian Health, Inc. is a Federally Qualified Health Center (FQHC) organization in Grand Terrace, CA (NPI 1174676670).
Provider details
- NPI number
- 1174676670
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Thomsen, Ceo(909) 864-1097
- License
- 240000751 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- San Manuel Indian Health
- Doing business as
- San Manuel Indian Health
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Frequently asked questions
- What is Riverside-San Bernardino County Indian Health, Inc.'s NPI number?
- Riverside-San Bernardino County Indian Health, Inc.'s National Provider Identifier (NPI) is 1174676670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside-San Bernardino County Indian Health, Inc.?
- Riverside-San Bernardino County Indian Health, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Riverside-San Bernardino County Indian Health, Inc. located?
- Riverside-San Bernardino County Indian Health, Inc.'s practice location on file with NPPES is 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172.
- What is Riverside-San Bernardino County Indian Health, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Riverside-San Bernardino County Indian Health, Inc. is (909) 864-1097.
- Does Riverside-San Bernardino County Indian Health, Inc. accept Medicare?
- Riverside-San Bernardino County Indian Health, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Riverside-San Bernardino County Indian Health, Inc.?
- The authorized official listed on Riverside-San Bernardino County Indian Health, Inc.'s NPPES record is William Thomsen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside-San Bernardino County Indian Health, Inc.'s NPI active?
- Yes — Riverside-San Bernardino County Indian Health, Inc.'s NPI (1174676670) is active in the NPPES registry as of the last update on 2021-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.