Riverside-San Bernardino County Indian Health, Inc.
Organization Active NPI Clinic Pharmacy · San Jacinto, CA
NPI 1487855045 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1487855045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- Legal business name
- RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
- Practice address
- 23119 Soboba Way
San Jacinto, CA 92583-5517 - Phone
- (951) 654-0803
- Fax
- (951) 654-9387
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Jeevan Dhouni
- Title
- Director of Pharmacy
- Phone
- (909) 864-1097
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Riverside San Bernandin
Locations
607 Donna Way
San Jacinto, CA 92583
Phone (951) 654-0803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005498 | Other | PK | |
| FHC03854F | Medicaid | CA |
Other names
- SOBOBA INDIAN CLINIC PHARMACY
Other providers in San Jacinto, CA
- Rite Aid Corporation
- Tonia Rivera
- Riverside Recovery Resources
- Riverside Recovery Resources
- Riverside Recovery Resources
- Riverside-San Bernardino County Indian Health, Inc.
- Riverside/San Bernardino County Indian Health, Inc.
- Jessica Roberson
- Andrea A Robert
- Sharron Arnetta Robinson
All providers in San Jacinto, CA · Clinic Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.