| NPI | 1063280642 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2023-12-13 |
| Last Updated | 2025-04-21 |
| Authorized Official | Tasha Amick Director of Billing Phone: 9092198665 |
| Mailing Address | 250 S G St San Bernardino, CA 92410-3320 United States Phone: (909) 382-7100 | Fax: (909) 382-7101 📍 View Map |
| Primary Practice Address | 801 E Mountain View St # 102 Barstow, CA 92311-3053 United States Phone: (909) 382-7100 | Fax: (909) 382-7101 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 261QC1500X – Clinic/Center, Community Health | — | — |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
| No | 261QM0801X – Clinic/Center, Mental Health (Including Community Mental Health Center) | — | — |
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About NPI 1063280642
Sac Health System is an organization registered in the CMS NPPES NPI Registry with NPI number 1063280642. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Barstow, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-12-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063280642?
NPI 1063280642 belongs to Sac Health System, a Clinic/Center, Federally Qualified Health Center (FQHC) in Barstow, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063280642 active?
The current status of NPI 1063280642 in the NPPES registry is Active. The record was last updated on 2025-04-21.
What specialty is NPI 1063280642?
NPI 1063280642 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063280642?
You can verify NPI 1063280642 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063280642?
The primary practice address on file for NPI 1063280642 is 801 E Mountain View St # 102, Barstow, CA 92311-3053. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063280642 issued?
NPI 1063280642 was first issued (enumerated) on 2023-12-13. The NPPES record was last updated on 2025-04-21.
Practice Location Map
Sac Health System is located at 801 E Mountain View St # 102, Barstow, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sac Health System. All records sourced from the CMS NPPES registry.