Riverside-San Bernardino County Indian Health Inc
NPI 1174724637 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Grand Terrace, CA
Riverside-San Bernardino County Indian Health Inc is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy organization in Grand Terrace, CA (NPI 1174724637).
Provider details
- NPI number
- 1174724637
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jeevan Dhouni, Director of Pharmacy(909) 864-1097
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense PHY52145 (CA)
Suppliers
- Pharmacy333600000X
Suppliers
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 Clinic Pharmacy
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
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 1174724637, 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 Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Suppliers).
- 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.
- 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 Jeevan Dhouni, Director of Pharmacy. 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 (1174724637) is active in the NPPES registry as of the last update on 2021-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.