Soboba Indian Health Clinic - Primary Care in San Jacinto, CA

Soboba Indian Health Clinic is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in San Jacinto, California. The current practice location for Soboba Indian Health Clinic is 23119 Soboba Way, San Jacinto, California. For appointments, you can reach them via phone at (951) 654-0803. The mailing address for Soboba Indian Health Clinic is 11980 Mount Vernon Ave, Grand Terrace, California and phone number is (909) 864-1097.

Soboba Indian Health Clinic is licensed to practice in * (Not Available) (license number ) and its NPI number is 1386837227. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (951) 654-0803.

Contact Information

Soboba Indian Health Clinic
23119 Soboba Way
San Jacinto
CA 92583-5517
(951) 654-0803
(951) 654-9387

Map and Direction


Primary Care Clinic Profile

Full NameSoboba Indian Health Clinic
SpecialityClinic/center - Federally Qualified Health Center (fqhc)
Location23119 Soboba Way, San Jacinto, California
Authorized Official Name and PositionWilliam Thomsen (CEO)
Authorized Official Contact9098641097
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Soboba Indian Health Clinic
11980 Mount Vernon Ave
Grand Terrace
CA 92313-5172

Ph: (909) 864-1097
Soboba Indian Health Clinic
23119 Soboba Way
San Jacinto
CA 92583-5517

Ph: (951) 654-0803

NPI Details:

NPI Number1386837227
Provider Enumeration Date08/23/2007
Last Update Date04/17/2023

Medical Identifiers

Medical identifiers for Soboba Indian Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386837227NPI-NPPES
BCP70271FMedicaidCA
FHC70271FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.