Organization Active NPI

Welbehealth San Bernardino Pace, LLC

  • PACE Provider Organization
  • San Bernardino, CA
National Provider Identifier
1225839293
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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

Updated by the provider on Mar 24, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2315148Welbehealth San Bernardino Pace, LLC1819 Western Ave N, San Bernardino, CA 92411Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.