BERKELEY SURGERY CENTER
NPI 1043060403
Clinic/Center - Ambulatory Surgical in Berkeley, CA
About Berkeley Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERKELEY SURGERY CENTER (NPI 1043060403) is a healthcare organization registered as an ambulatory surgical in Berkeley, California and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Kelly Mather, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2316129
Bayhealth Berkeley Surgery Center, LLC · Berkeley, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bayhealth Berkeley Surgery Center, LLC's NPI number?
The NPI number for Bayhealth Berkeley Surgery Center, LLC is 1043060403. It was assigned to this organization in the NPPES registry on March 26, 2024. The provider is doing business as Berkeley Surgery Center.
Where is Bayhealth Berkeley Surgery Center, LLC located?
Bayhealth Berkeley Surgery Center, LLC is located at 3100 San Pablo Ave Ste 180B, Berkeley, CA 94702. The listed phone number is (530) 848-3566.
What is Bayhealth Berkeley Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Bayhealth Berkeley Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2316129) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bayhealth Berkeley Surgery Center, LLC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Berkeley Surgery Center · NPI 1043060403
Ambulatory Surgical organization in Berkeley, California. Organization record, active in the CMS NPPES registry since March 26, 2024.
## Identity
- **NPI:** 1043060403 (Entity type: Organization)
- **Enumerated:** March 26, 2024
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Bayhealth Berkeley Surgery Center, Llc
- **Organization subpart:** No
- **Authorized official:** Kelly Mather, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 3100 SAN PABLO AVE STE 180B, Berkeley, CA 94702-2498
- **Phone:** (530) 848-3566
## Record status
- **NPPES last updated:** June 12, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043060403) · Data from the CMS NPPES public registry.