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SAN ANTONIO AMBULATORY SURGICAL CENTER, LLC
NPI 1063422962
Clinic/Center - Ambulatory Surgical in Upland, CA

Active since August 09, 2006CLIA 05D0981354 · Waiver
901 SAN BERNARDINO RD, SUITE 201, UPLAND, CA 91786(909) 579-1500(909) 579-1510 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About San Antonio Ambulatory Surgical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN ANTONIO AMBULATORY SURGICAL CENTER, LLC (NPI 1063422962) is a healthcare organization registered as an ambulatory surgical in Upland, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Caleb Perry Chu, President, as its authorized official.

NPPES Registry Identity

NPI1063422962
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN ANTONIO AMBULATORY SURGICAL CENTER, LLC
Location Address901 SAN BERNARDINO RD, SUITE 201Upland, CA 91786-4912
Mailing Address901 San Bernardino Rd, Suite 201Upland, CA 91786-4912 · (909) 579-1500 · Fax (909) 579-1510
Phone(909) 579-1500
Fax(909) 579-1510
Organization SubpartNo
Authorized OfficialCaleb Perry ChuPresident · (909) 579-1500
Enumeration DateAugust 9, 2006
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1063422962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 240000773
901 SAN BERNARDINO RD, Upland, CA 91786
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0981354

San Antonio Ambulatory Surgical Center · Upland, CA
Active · expires Dec 21, 2026
CLIA Number05D0981354
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorCaleb P. Chu MD
Laboratory Phone(909) 579-1500
Laboratory LocationSan Antonio Ambulatory Surgical Center901 San Bernardino Rd Ste 201, Upland, CA 91786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
255 services246 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
186 services186 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
154 services153 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
133 services131 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
33 services33 patients

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAN WANG M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, STE 102
UPLAND, CA 91786
San Bernardino County (909) 579-6721
SYNERGY CARDIOTHORACIC SURGERY MEDICAL GROUP
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, SUITE102
UPLAND, CA 91786
San Bernardino County (909) 579-6721
YTHANH NGUYEN M.D. INC
Internal Medicine
901 SAN BERNARDINO RD
UPLAND, CA 91786
San Bernardino County (909) 579-6753
DONNA E DUDZIAK M.D.
Surgery
901 SAN BERNARDINO RD, STE 301
UPLAND, CA 91786
San Bernardino County (909) 946-6221
SYNERGY CT SURGERY PARTNERSHIP
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, STE102
UPLAND, CA 91786
San Bernardino County (909) 579-6721
WALLACE GEORGE GOSNEY M.D.
Specialist
901 SAN BERNARDINO RD, STE 301
UPLAND, CA 91786
San Bernardino County (909) 946-6221
HOSSEIN SHAYAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, STE 102
UPLAND, CA 91786
San Bernardino County (909) 579-6721
MR. CAREY A BLEDSOE DPM
Podiatrist (Foot & Ankle Surgery)
901 SAN BERNARDINO RD, SUITE 104
UPLAND, CA 91786
San Bernardino County (909) 946-6643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Antonio Ambulatory Surgical Center, LLC's NPI number?

The NPI number for San Antonio Ambulatory Surgical Center, LLC is 1063422962. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is San Antonio Ambulatory Surgical Center, LLC located?

San Antonio Ambulatory Surgical Center, LLC is located at 901 San Bernardino Rd Suite 201, Upland, CA 91786. The listed phone number is (909) 579-1500.

What is San Antonio Ambulatory Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does San Antonio Ambulatory Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0981354) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Antonio Ambulatory Surgical Center, LLC was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.