Organization Active NPI

Hostasa Clinic Inc

  • Clinic/Center
  • Glendora, CA
National Provider Identifier
1043116916
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOSTASA CLINIC INC
Practice address
212 W Foothill Blvd Ste E
Glendora, CA 91741-3356
Phone
(747) 250-3567
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Hostasa
Title
Ceo
Phone
(747) 250-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

212 W Foothill Blvd Ste E
Glendora, CA 91741-3356

Mailing address

212 W Foothill Blvd Ste E
Glendora, CA 91741-3356
Phone (747) 250-3567

National Provider Directory

National Provider Directory

Locations

212 W Foothill Blvd
Ste E
Glendora, CA 91741

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1043116916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W FOOTHILL BLVD STE E",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413356",
            "telephone_number": "747-250-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W FOOTHILL BLVD STE E",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413356",
            "telephone_number": "747-250-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSTASA CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "HOSTASA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-250-3567"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.