Active NPI
Welbehealth San Bernardino Pace, LLC
- PACE Provider Organization
- San Bernardino, CA
National Provider Identifier
1225839293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- WELBEHEALTH SAN BERNARDINO PACE, LLC
- Practice address
- 1819 Western Ave
San Bernardino, CA 92411-1307 - Phone
- (909) 898-5101
- NPI assigned
- Mar 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josh Niehaus
- Title
- Executive Director
- Phone
- (270) 222-0629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
1819 Western Ave
San Bernardino, CA 92411-1307
Mailing address
440 N Barranca Ave # 4051
Covina, CA 91723-1722
Other names 1
- WelbeHealth
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2315148 | Welbehealth San Bernardino Pace, LLC | Certificate of waiver | Dec 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
1819 Western Ave
San Bernardino, CA 92411
Phone (888) 530-4415
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- San Bernardino, CA
- NPI 1134563695
-
- Nurse Practitioner
- San Bernardino, CA
- NPI 1881889145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1225839293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N BARRANCA AVE # 4051",
"city": "COVINA",
"state": "CA",
"postal_code": "917231722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 WESTERN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111307",
"telephone_number": "909-898-5101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELBEHEALTH SAN BERNARDINO PACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "NIEHAUS",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "270-222-0629"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WelbeHealth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.