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

San Gorgonio Memorial Health Care District

Organization Family Medicine Physician · NPI 1194243642

San Gorgonio Memorial Health Care District is a Family Medicine Physician in Banning, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3

Practice location Address checks out

264 N Highland Springs Ave Ste 3D
Banning, CA 92220-3085
Phone: (951) 846-2877
Fax: (951) 846-2876
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1194243642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Brady — Chief Nursing Executive/Vp · (517) 692-1859
Other names San Gorgonio Memorial Medical Clinic
NPI enumeratedSeptember 5, 2017
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address264 N Highland Springs Ave Ste 3d, Banning, CA 92220-3085

Other providers in Banning