SAN ANTONIO AMBULATORY SURGICAL CENTER LLC NPI 1063422962

NPI Information

  • NPI: 1063422962
  • Provider Name: SAN ANTONIO AMBULATORY SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D0981354
  • Address: 901 SAN BERNARDINO RD
    SUITE 201
    UPLAND, CA
    ZIP 91786
  • Phone: (909) 579-1500

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NPI Details

SAN ANTONIO AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Upland, CA. SAN ANTONIO AMBULATORY SURGICAL CENTER, LLC NPI is 1063422962. The provider is registered as an organization entity type.

The provider's business location address is:

901 SAN BERNARDINO RD
SUITE 201
UPLAND, CA
ZIP 91786-912
Phone: (909) 579-1500
Fax: (909) 579-1510

The provider's authorized official is Caleb Perry Chu .
The authorized official title is President and has the following contact phone number (909) 579-1500.

The CLIA number assigned to this NPI record is 05D0981354 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 5/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical240000773CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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