San Antonio Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

240000203 Issued in CA

Legal business name

SAN ANTONIO POST ACUTE LLC

Practice address

867 E 11TH St
Upland, CA 91786-4867

Phone

(909) 985-1981

Fax

(909) 985-1981

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Crystal Solorzano

Title

Manager

Phone

(323) 863-9397

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1811479769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LEMON AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162809",
            "telephone_number": "323-836-9397",
            "fax_number": "323-846-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 E 11TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864867",
            "telephone_number": "909-985-1981",
            "fax_number": "909-985-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-863-9397"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "056136",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06136I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romeo Samouh, M.D.
• Elvis Sampson
• Farah Ragy Samy, DMD
• San Antonio Ambulatory Surgical Center, LLC
• San Antonio Medical Transport Inc.
• San Antonio Radiological Medical
• San Antonio Regional Hospital
• San Antonio Regional Hospital
• San Antonio Regional Hospital
• San Antonio Regional Hospital

• Skilled Nursing Facility in Upland, CA
• Providers in Upland, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.