Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside-San Bernardino County Indian Health Inc

Organization Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI 1174724637

Riverside-San Bernardino County Indian Health Inc is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Grand Terrace, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone: (909) 864-1097
Fax: (909) 503-1218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) Taxonomy 332800000X · Licence PHY52145 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1174724637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeevan Dhouni — Director Of Pharmacy · (909) 864-1097
Other names San Manuel Indian Health Clinic Pharmacy
NPI enumeratedMay 30, 2007
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021
Mailing address11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172