NPIMap

Organization Active NPI

Sac Health System

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
National Provider Identifier
1467274126
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SAC HEALTH SYSTEM
Practice address
1003 E Brier Dr
San Bernardino, CA 92408-2862
Phone
(909) 382-7100
Fax
(909) 382-7101
NPI assigned
Oct 24, 2024
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAC HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Tasha Amick
Title
Director of Billing
Phone
(909) 382-7100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1003 E Brier Dr
San Bernardino, CA 92408-2862

Mailing address

1003 E Brier Dr
San Bernardino, CA 92408-2862
Phone (909) 382-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701002114 CA Part A Provider - Federally Qualified Health Center (FQHC) 4385533579 Practice locations: San Bernardino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467274126. Details of each certification follow.

Federally qualified health center certification: CCN A01957

Legal name
SAC HEALTH SYSTEM
Doing business as
SAC BRIER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 19, 2025
Last certification
May 19, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1003 E Brier Dr
San Bernardino, CA 92408-2862

Other NPIs with the same Medicare PAC ID 12

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

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
05D2307665Sac Health System Brier1003 East Brier Dr, San Bernardino, CA 92408Provider-performed microscopyJul 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sac Health System Norto18 organizations share this tax ID, including this one
Part of
Sac Health System Norto

Other organizations with this tax ID 17

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

View all 17

Locations

801 E Mountain View St
Barstow, CA 92311
Phone (347) 893-2164

47470 Van Buren St
Indio, CA 92201
Phone (760) 347-3512

1003 E Brier Dr
San Bernardino, CA 92408
Phone (866) 320-0060

781 W 2nd St
Ste C
San Bernardino, CA 92410

1293 N D St
Sn Bernrdno, CA 92405
Phone (909) 381-1663

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Peter J Baker Individual Corporate Director Feb 22, 2022
Angela Teresi Individual W-2 Managing Employee Jun 29, 2015
Jason Lohr Individual Corporate OfficerCeo Jun 29, 2018
Pat Morris Individual Corporate Director Sep 24, 2019
Raul Castillo Individual Corporate Director Apr 1, 2014
Richard Henry Hart Individual Corporate Director Jul 1, 2014
Jordan Urban Individual Corporate OfficerCfo Dec 30, 2022
Rodney Neal Individual Corporate Director Sep 1, 2014
Jessica Garcia Individual Corporate Director Feb 22, 2022
Marilyn Hermann Individual Corporate Director Mar 1, 2010

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 442

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.

View all 442

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1467274126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E BRIER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082862",
            "telephone_number": "909-382-7100",
            "fax_number": "909-382-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E BRIER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082862",
            "telephone_number": "909-382-7100",
            "fax_number": "909-382-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAC HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAC HEALTH SYSTEM",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "AMICK",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "909-382-7100"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.