Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

San Gorgonio Memorial Health Care District

Organization Family Medicine Physician · NPI 1801761358

San Gorgonio Memorial Health Care District provides Family Medicine Physician services in Banning, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

264 N Highland Springs Ave Ste 3D
Banning, CA 92220-3085
Phone: (951) 951-2762
Fax: (951) 848-7985
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1801761358
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSan Gorgonio Memorial Health Care District
Authorized official Angela Brady — Exeutive · (951) 769-2121
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address264 N Highland Springs Ave Ste 3d, Banning, CA 92220-3085

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