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Sac Health System

Organization Active NPI Federally Qualified Health Center (FQHC) · Murrieta, CA

NPI 1548028962 · NPPES record last updated Apr 21, 2025

Key facts

NPI
1548028962
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
SAC HEALTH SYSTEM
Practice address
28078 Baxter Rd Ste 430
Murrieta, CA 92563-1404
Phone
(909) 382-7100
Fax
(909) 382-7101
NPI assigned
Mar 11, 2024
Organization subpart
Yes
Parent organization (as reported)
SAC HEALTH SYSTEM

Authorized official

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

Owners & managing parties with NPI records 2

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

Other NPIs with the same Medicare PAC ID 12

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

Corporate family (same tax ID) 17

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

Practitioners 222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 222

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Federally qualified health center certification: CCN A01985

Legal name
SAC HEALTH SYSTEM
Doing business as
SAC MURRIETA SUITE 430
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 12, 2025
Last certification
Feb 12, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
28078 Baxter Rd
Ste 430
Murrieta, CA 92563-1404

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 Officer
Ceo		 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 Officer 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

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250213000904 CA Part a Provider - Federally Qualified Health Center (FQHC) 4385533579 Practice locations: Murrieta, CA

National Provider Directory

Tax ID family
Sac Health System Norto (18 organizations share this tax ID)
Part of
Sac Health System Norto

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

28078 Baxter Rd Ste 430
Murrieta, CA 92563-1404

Mailing address

250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100

Other providers in Murrieta, CA

All providers in Murrieta, CA · Federally Qualified Health Center (FQHC) in California

Sources for this page

Verify at the official NPI Registry.