<unavail> in San Jacinto, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in San Jacinto, California. The current practice location for is 23119 Soboba Way, San Jacinto, California. For appointments, you can reach them via phone at (951) 676-6810. The mailing address for is 11980 Mount Vernon Ave, Grand Terrace, California and phone number is (909) 864-1097.

is licensed to practice in California (license number 250000055). The clinic also participates in the medicare program and its NPI number is 1639222144. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 676-6810.

Contact Information


	23119 Soboba Way San Jacinto CA 92583-5517
	(951) 676-6810
	(951) 676-0744

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	23119 Soboba Way, San Jacinto, California
Authorized Official Name and Position	William Thomsen (CEO)
Authorized Official Contact	9098641097
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
11980 Mount Vernon Ave Grand Terrace CA 92313-5172 Ph: (909) 864-1097	23119 Soboba Way San Jacinto CA 92583-5517 Ph: (951) 676-6810

NPI Details:

NPI Number	1639222144
Provider Enumeration Date	01/19/2007
Last Update Date	04/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4789867805
Medicare Enrollment ID	O20110429000403

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639222144	NPI	-	NPPES
FHC70271F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	250000055 (California)	Primary

Reviews and Comments

Clinic/Center in San Jacinto, CA

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New Life Womens Health Center,a Nursing Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Suite N, San Jacinto, CA 92583 Phone: 951-654-8800
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 N State St Ste A, San Jacinto, CA 92583 Phone: 951-654-2300
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23119 Soboba Way, San Jacinto, CA 92583 Phone: 951-654-0803 Fax: 951-654-9387
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 N State St Ste 5, San Jacinto, CA 92583 Phone: 760-767-5051 Fax: 760-767-4552
Ramona Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 E Main St, San Jacinto, CA 92583 Phone: 951-654-9367 Fax: 951-654-0839
Valley Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 S San Jacinto Ave, San Jacinto, CA 92583 Phone: 951-588-7692 Fax: 951-281-0416

- Medicare Primary Care in San Jacinto, CA