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

NPI Status: Active since August 09, 2006

Contact Information

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

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D0981354
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-21-2026

About SAN ANTONIO AMBULATORY SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for San Antonio Ambulatory Surgical Center, Llc, a provider established in Upland, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1063422962 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 240000773 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Caleb Perry Chu Md (President)

NPI
1063422962
Provider Name
SAN ANTONIO AMBULATORY SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
901 SAN BERNARDINO RD SUITE 201 UPLAND, CA 91786
Location Phone
(909) 579-1500
Location Fax
(909) 579-1510
Mailing Address
901 SAN BERNARDINO RD SUITE 201 UPLAND, CA 91786
Mailing Phone
(909) 579-1500
Mailing Fax
(909) 579-1510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2006
Last Update Date
05-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
240000773
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CALEB PERRY CHU MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 579-1500

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 178 times for 174 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 105 times for 105 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 37 times for 37 patients

Diagnostic exam of large bowel using a flexible endoscope

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.

This service was performed 86 times for 85 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 104 times for 103 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0981354
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 22, 2024
Certificate Expiration Date
December 21, 2026
Laboratory Director
CALEB P. CHU MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Antonio Ambulatory Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063422962, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 2 + 4 + 9 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1063422962.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
901 SAN BERNARDINO RD, SUITE 104
UPLAND, CA 91786
Pharmacy (Community/Retail Pharmacy)
901 SAN BERNARDINO RD, STE B
UPLAND, CA 91786
Podiatrist (Foot & Ankle Surgery)
901 SAN BERNARDINO RD, SUITE 104
UPLAND, CA 91786
Specialist
901 SAN BERNARDINO RD, STE 301
UPLAND, CA 91786
Surgery
901 SAN BERNARDINO RD, STE 301
UPLAND, CA 91786
Internal Medicine
901 SAN BERNARDINO RD
UPLAND, CA 91786
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, STE 102
UPLAND, CA 91786
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, STE 102
UPLAND, CA 91786
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, SUITE102
UPLAND, CA 91786
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, STE102
UPLAND, CA 91786
Hospitalist
901 SAN BERNARDINO RD, SUITE 101
UPLAND, CA 91786
Surgery (Pediatric Surgery)
901 SAN BERNARDINO RD
UPLAND, CA 91786
Internal Medicine
901 SAN BERNARDINO RD, SUITE 101
UPLAND, CA 91786

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063422962, enumerated as an "organization" on August 09, 2006.

The provider is located at 901 SAN BERNARDINO RD SUITE 201 UPLAND, CA 91786 and the phone number is (909) 579-1500.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.