NPIMap

Organization Active NPI

San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
National Provider Identifier
1780681189
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
240000196 Issued in CA
Legal business name
SAN ANTONIO REGIONAL HOSPITAL
Practice address
999 San Bernardino Rd
Upland, CA 91786-4920
Phone
(909) 985-2811
Fax
(909) 949-1774
NPI assigned
Jun 30, 2005
Last updated
Feb 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Mr. Wah-Chung Hsu
Title
V.P. Finance/Cfo
Phone
(909) 920-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 240000196 CA Primary

Addresses

Primary practice location

999 San Bernardino Rd
Upland, CA 91786-4920

Mailing address

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Other identifiers 2

IdentifierTypeStateIssuer
ZZT30099F (IP)OtherMEDICAID
ZZT40099F(OP)OtherMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011001229 CA Part A Provider - Hospital 9032134721 Practice locations: Upland, CA; Rancho Cucamonga, CA; Fontana, CA; Eastvale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780681189. Details of each certification follow.

Hospital certification: CCN 050099

Legal name
SAN ANTONIO REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 1, 2022
Beds
363
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Apr 21, 1920 in CA
Enrollment address
999 San Bernardino Rd
Upland, CA 91786-4920
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
San Antonio Regional HospitalCCN 050099 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Comm Hospit6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 54)

15361 Central Ave
Chino, CA 91710
Phone (909) 363-7171

5365 Walnut Ave
Ste H
Chino, CA 91710
Phone (909) 591-0814

1601 Monte Vista Ave
Ste 270
Claremont, CA 91711
Phone (909) 537-7303

2097 Compton Ave
Bldg 1103
Corona, CA 92881

770 Magnolia Ave
Ste 2C
Corona, CA 92879
Phone (951) 284-0171

315 N 3rd Ave
Ste 305
Covina, CA 91723
Phone (626) 859-2898

12442 Limonite Ave
Unit 202
Eastvale, CA 91752
Phone (951) 734-6500

13334 Limonite Ave
Ste 130
Eastvale, CA 92880
Phone (951) 407-1460

16465 Sierra Lakes Pkwy
Ste 105
Fontana, CA 92336
Phone (909) 434-1100

1245 Wilshire Blvd
Ste 570
Los Angeles, CA 90017

500 N Garfield Ave
Ste 304
Monterey Park, CA 91754
Phone (626) 288-1373

25495 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 698-1901

728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-5614

303 W Katella Ave
Ste 308
Orange, CA 92867
Phone (714) 602-6660

2595 E Washington Blvd
Ste 106
Pasadena, CA 91107
Phone (626) 794-8133

151 W Willow St
Pomona, CA 91768
Phone (909) 469-1888

160 E Artesia St
Ste 150
Pomona, CA 91767
Phone (626) 434-7000

1774 Alameda St
Pomona, CA 91768
Phone (909) 622-1188

1818 N Orange Grove Ave
Ste 300
Pomona, CA 91767
Phone (909) 620-7876

255 E Bonita Ave
#1B
Pomona, CA 91767

297 W Artesia St
#A
Pomona, CA 91768
Phone (909) 623-1503

7777 Milliken Ave
Ste G30
Rancho Cucamonga, CA 91730
Phone (909) 948-8080

8250 White Oak Ave
Ste 106
Rancho Cucamonga, CA 91730
Phone (909) 360-4722

10832 Laurel St
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 477-3015

7365 Carnelian St
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 980-4647

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Mendez Individual Corporate DirectorTrustee Jul 8, 2020 8.33%
Mary Lopez Individual Corporate DirectorTrustee Jul 8, 2020 8.33%
Devorah Lieberman Individual Corporate DirectorTrustee Jul 1, 2024 8.33%
Basim Abdelkarim Individual Corporate DirectorTrustee Jan 1, 2024 8.33%
Timothy Wu Individual Corporate DirectorTrustee Jan 1, 2026 8.33%
John T Chapman Individual W-2 Managing EmployeePresident & Ceo Jan 1, 2020 50%
Steven H Barag Individual Corporate DirectorTrustee Jan 1, 2022 8.33%
Al Arguello Individual Corporate DirectorTrustee Jan 1, 2019 8.33%
Wah-Chung Hsu Individual Corporate OfficerCfo Nov 19, 2012
W-2 Managing EmployeeCfo Nov 19, 2012 50%
Jennifer Oglesby Individual Corporate DirectorTrustee Feb 1, 2025 8.33%
Andrea Dutton Individual Corporate OfficerTrustee Jan 1, 2025 8.33%
Nima Naimi Individual Corporate Director Jan 1, 2025 8.33%
Edward D Di Giamarino Individual Corporate DirectorTrustee Aug 1, 2024 8.33%
Dora Barilla Individual Corporate DirectorTrustee Feb 4, 2020 8.33%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 448

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 448

Affiliated clinicians 626

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 626

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1780681189",
    "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": "909-985-2811",
            "fax_number": "909-949-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SAN BERNARDINO RD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864920",
            "telephone_number": "909-985-2811",
            "fax_number": "909-949-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "WAH-CHUNG",
        "authorized_official_title_or_position": "V.P. FINANCE/CFO",
        "authorized_official_telephone_number": "909-920-6103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "240000196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "ZZT30099F (IP)",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "ZZT40099F(OP)",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.