NPIMap

Organization Active NPI

County of San Bernardino

  • Public Health or Welfare Agency
  • Adelanto, CA
National Provider Identifier
1285870469
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF SAN BERNARDINO
Practice address
11336 Bartlett Ave #11
Adelanto, CA 92301
Phone
(760) 246-1272
Fax
(760) 246-1276
NPI assigned
Dec 18, 2008
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sharon Wang, DO
Title
Health Officer
Phone
(909) 387-6218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

11336 Bartlett Ave #11
Adelanto, CA 92301

Mailing address

451 E Vanderbilt Way Ste 400
San Bernardino, CA 92408-3614
Phone (909) 387-6218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031209000420 CA Part B Supplier - Clinic/Group Practice 3870499130 Receives reassigned benefits from 233 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Needles, CA; Victorville, CA; San Bernardino, CA; Rialto, CA; Ontario, CA; Hesperia, CA; Fontana, CA; Colton, CA…
O20120402000186 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870499130 Practice locations: Adelanto, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285870469. Details of each certification follow.

Federally qualified health center certification: CCN 551157

Legal name
COUNTY OF SAN BERNARDINO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 2, 2012
Last certification
Apr 2, 2012
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
in CA
Enrollment address
11336 Bartlett Ave
Ste 11
Adelanto, CA 92301-1950

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joshua Dugas Individual Corporate DirectorDirector, San Bernardino County Aug 16, 2021 100%
County of San Bernardino Organization, San Bernardino, CA Non-profit Operational/Managerial Control Jan 1, 2012
Michael a Sequeira Individual Corporate OfficerMedical Officer Mar 29, 2022 50%
Melanie a Bird-Livingston Individual W-2 Managing EmployeeClinical Director 1/Interim Divi Jan 28, 2022 50%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arrowhead Regional Medical CenterColton, CA, CCN 050245 Hospital 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Mar 1, 1999
Mar 1, 1999
County of San BernardinoHesperia, CA, CCN 551129 Federally qualified health center Operational/Managerial Control (100%) Jan 30, 2010
Ontario Health CenterOntario, CA, CCN 921004 Federally qualified health center Other (100%) Jan 30, 2010
San Bernardino Health CenterSan Bernardino, CA, CCN 921003 Federally qualified health center Operational/Managerial Control (100%)
Other		 Jan 30, 2010
Jan 30, 2010

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1285870469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E VANDERBILT WAY STE 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083614",
            "telephone_number": "909-387-6218",
            "fax_number": "909-387-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 BARTLETT AVE #11",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "92301",
            "telephone_number": "760-246-1272",
            "fax_number": "760-246-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "909-387-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelanto, CA

Sources for this page

Verify at the official NPI Registry.