Active NPI
San Gorgonio Memorial Health Care District
- Family Medicine Physician
- Banning, CA
National Provider Identifier
1669347233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAN GORGONIO MEMORIAL HEALTH CARE DISTRICT
- Practice address
- 600 N Highland Springs Ave
Banning, CA 92220-3046 - Phone
- (909) 264-0246
- Fax
- (951) 845-2836
- NPI assigned
- Oct 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Peleuses
- Title
- VP Ancillary and Support Services
- Phone
- (909) 264-0246
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Gynecology Physician | 207VG0400X |
Addresses
Primary practice location
600 N Highland Springs Ave
Banning, CA 92220-3046
Mailing address
600 N Highland Springs Ave
Banning, CA 92220-3046
Phone (909) 264-0246
National Provider Directory
National Provider DirectoryLocations
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1669347233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N HIGHLAND SPRINGS AVE",
"city": "BANNING",
"state": "CA",
"postal_code": "922203046",
"telephone_number": "909-264-0246",
"fax_number": "951-845-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HIGHLAND SPRINGS AVE",
"city": "BANNING",
"state": "CA",
"postal_code": "922203046",
"telephone_number": "909-264-0246",
"fax_number": "951-845-2836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN GORGONIO MEMORIAL HEALTH CARE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "PELEUSES",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VP ANCILLARY AND SUPPORT SERVICES",
"authorized_official_telephone_number": "909-264-0246"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.