San Antonio Regional Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SAN ANTONIO REGIONAL MEDICAL GROUP, INC.

Practice address

901 San Bernardino Rd Ste 300
Upland, CA 91786-7299

Phone

(909) 920-4801

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sara Khan, MDNPI 1033253414

Title

President and Treasurer

Phone

(909) 920-6306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Khan, MD

  • Hospitalist Physician
  • Upland, CA
  • NPI 1033253414
  Medicare reassignment NPD Authorized official
• Ai-Jen Wang, M.D.

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1326295288
  Medicare reassignment NPD
• Dalia Adnan Corleone, MD

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1649443599
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1356913677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SAN BERNARDINO RD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864920",
            "telephone_number": "909-920-4801",
            "fax_number": "909-985-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAN BERNARDINO RD STE 300",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867299",
            "telephone_number": "909-920-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO REGIONAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "909-920-6306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Antonio Radiological Medical
• San Antonio Regional Hospital
• San Antonio Regional Hospital
• San Antonio Regional Hospital
• San Antonio Regional Hospital
• San Antonio Urology Medical Group Inc
• San Bernardino County Department of Behavioral Health
• San Bernardino Home Health Inc
• Cinnamon Anjelica Marie San Miguel, PTA
• Sharon Sanches, LMFT

• Primary Care Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.