Organization
RIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Active
Organization
RIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Active
Other names
Soboba Indian Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMSEN (CEO)
(909) 864-1097
Entity
Organization
Contact information
Practice address
23119 SOBOBA WAY, SAN JACINTO, CA 92583-5517
(951) 654-0803
(951) 654-9387
Mailing address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
(951) 225-6879
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP70271F
—
CA
05
—
FHC70271F
—
CA
Enumeration date
08/23/2007
Last updated
02/27/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up