Organization · Type 2 NPI
Riverside-San Bernardino County Indian Health, Inc.
Federally Qualified Health Center (FQHC) · Grand Terrace, CA
NPI number
1720178478
Active
Practice location
11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Fax (951) 252-6879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 240000751 (CA) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 250000055 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
38 other providers at this address
- Keystone NPS LLCLocal Education Agency (LEA) Grand Terrace, CA NPI 1295029254
- Riverside-San Bernardino County Indian Health IncIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Grand Terrace, CA NPI 1174724637
- Riverside-San Bernardino County Indian Health, Inc.Federally Qualified Health Center (FQHC) Grand Terrace, CA NPI 1174676670
- Riverside-San Bernardino County Indian Health, Inc.Primary Care Clinic/Center Grand Terrace, CA NPI 1891169249
- Amber Joy Smith, LMFTMarriage & Family Therapist Grand Terrace, CA NPI 1972924553
- Ashley Fonseca-Tweed, FNP-BCFamily Nurse Practitioner Grand Terrace, CA NPI 1275316176
- Brian Thomas Haven, DPMPrimary Podiatric Medicine Podiatrist Grand Terrace, CA NPI 1609356591
- Cameron Micah Yu, ODOptometrist Grand Terrace, CA NPI 1164260550
- Cassandra A. Mahan-Richards, MDPediatrics Physician Grand Terrace, CA NPI 1093767782
- Cassidy Carina Liu KooFamily Medicine Physician Grand Terrace, CA NPI 1497495535
- Chloe T. Nguyen, DOPediatrics Physician Grand Terrace, CA NPI 1750895934
- Diana Angela Plucker, MDFamily Medicine Physician Grand Terrace, CA NPI 1568877629
Other federally qualified health center (fqhc) providers in Grand Terrace
About NPI 1720178478
Riverside-San Bernardino County Indian Health, Inc.'s National Provider Identifier is 1720178478, issued on Oct 13, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grand Terrace, CA. The record was last updated on Jul 7, 2026.