NPIMap

Organization Active NPI

Riverside/San Bernardino County Indian Health, Inc.

Doing business as Soboba Indian Health Clinic

  • Federally Qualified Health Center (FQHC)
  • San Jacinto, CA
National Provider Identifier
1386837227
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Doing business as
Soboba Indian Health Clinic
Practice address
23119 Soboba Way
San Jacinto, CA 92583-5517
Phone
(951) 654-0803
Fax
(951) 654-9387
NPI assigned
Aug 23, 2007
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
William Thomsen
Title
Ceo
Phone
(909) 864-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

23119 Soboba Way
San Jacinto, CA 92583-5517

Mailing address

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone (909) 864-1097

Other identifiers 2

IdentifierTypeStateIssuer
BCP70271FMedicaidCA
FHC70271FMedicaidCA

Other names 1

  • Soboba Indian Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside San Bernardin20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

23119 Soboba Rd
San Jacinto, CA 92583
Phone (951) 654-0803

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1386837227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 MOUNT VERNON AVE",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135172",
            "telephone_number": "909-864-1097",
            "fax_number": "951-225-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 SOBOBA WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835517",
            "telephone_number": "951-654-0803",
            "fax_number": "951-654-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-864-1097"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP70271F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70271F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soboba Indian Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soboba Indian Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.