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 Federally Qualified Health Center (FQHC) · NPI 1720178478

Riverside-San Bernardino County Indian Health, Inc is a Federally Qualified Health Center (FQHC) in Grand Terrace, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone: (909) 864-1097
Fax: (951) 252-6879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X · Licence 250000055 (CA)
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X · Licence 240000751 (CA)

Record details

NPI number1720178478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Lebeau — Ceo · (909) 864-1097
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172

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