NPIMap

Organization Active NPI

County of San Bernardino

  • Public Health or Welfare Agency
  • Hesperia, CA
National Provider Identifier
1861662025
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF SAN BERNARDINO
Practice address
16453 Bear Valley Rd
Hesperia, CA 92345-1752
Phone
(760) 956-4400
NPI assigned
Mar 4, 2008
Organization subpart
Yes
Parent organization
COUNTY OF SAN BERNARDINOAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Sharon Wang, DO
Title
Health Officer
Phone
(909) 387-6218

Owners & managing parties with NPI records 9

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

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 8

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 76

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

View all 76

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000646 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870499130 Practice locations: Hesperia, CA

Federally qualified health center certification: CCN 551129

Legal name
COUNTY OF SAN BERNARDINO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 2, 2012
Last certification
Apr 2, 2012
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
16453 Bear Valley Rd
Hesperia, CA 92345-1752

All disclosed owners & managing parties 4

Medicare enrollment files

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

NameRoleSinceShare
Joshua Dugas Individual Corporate DirectorDirector, San Bernardino County Aug 16, 2021 100%
County of San Bernardino Organization, San Bernardino, CA Operational/Managerial Control Jan 30, 2010 100%
Michael a Sequeira Individual Corporate OfficerMedical Officer Nov 23, 2020 50%
Melanie a Bird-Livingston Individual W-2 Managing EmployeeClinical Director 1/Interim Divi Jan 28, 2022 50%

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arrowhead Regional Medical CenterColton, CA, CCN 050245 Hospital 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Mar 1, 1999
Mar 1, 1999
County of San BernardinoAdelanto, CA, CCN 551157 Federally qualified health center Operational/Managerial Control Jan 1, 2012
Ontario Health CenterOntario, CA, CCN 921004 Federally qualified health center Other (100%) Jan 30, 2010
San Bernardino Health CenterSan Bernardino, CA, CCN 921003 Federally qualified health center Operational/Managerial Control (100%)
Other		 Jan 30, 2010
Jan 30, 2010

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino County D142 organizations share this tax ID, including this one
Part of
San Bernardino County D

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

590 N D St
San Bernardino, CA 92401
Phone (800) 970-9415

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

16453 Bear Valley Rd
Hesperia, CA 92345-1752

Mailing address

451 E Vanderbilt Way Ste 400
San Bernardino, CA 92408-3614
Phone (909) 387-6218

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
LAB65059FOtherCALAB
ZZT11488FMedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2026.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1861662025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E VANDERBILT WAY STE 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083614",
            "telephone_number": "909-387-6218",
            "fax_number": "909-387-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16453 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451752",
            "telephone_number": "760-956-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN BERNARDINO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "909-387-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB",
            "identifier": "LAB65059F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11488F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.