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MERIT SURGERY CENTER, INC
NPI 1114103587
Clinic/Center - Ambulatory Surgical in Upland, CA

Active since January 16, 2008CLIA 05D1056118 · Waiver
843 E FOOTHILL BLVD, UPLAND, CA 91786(909) 982-1002 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Merit Surgery Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERIT SURGERY CENTER, INC (NPI 1114103587) is a healthcare organization registered as an ambulatory surgical in Upland, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Ali Heidari, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114103587
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMERIT SURGERY CENTER, INC
Location Address843 E FOOTHILL BLVDUpland, CA 91786-4034
Mailing Address843 E Foothill BlvdUpland, CA 91786-4034 · (909) 982-1002
Phone(909) 982-1002
Organization SubpartNo
Authorized OfficialAli HeidariMedical Director · (909) 982-1002
Enumeration DateJanuary 16, 2008
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1114103587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 05C0001814
843 E FOOTHILL BLVD, Upland, CA 91786
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Merit Surgery Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20080304000601Non-DME Part B · Ambulatory Surgical CenterDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 05D1056118

Merit Surgery Center · Upland, CA
Active · expires Jul 5, 2028
CLIA Number05D1056118
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorAli M. Heidan
Laboratory Phone(909) 982-1002
Laboratory LocationMerit Surgery Center843 E Foothill Blvd, Upland, CA 91786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALI A HEIDARI, DO, A PROFESSIONAL CORPORATION
Plastic Surgery
843 E FOOTHILL BLVD
UPLAND, CA 91786
San Bernardino County (909) 982-1002
PREMIUM EXTREMITY CARE, INC.
Plastic Surgery
843 E FOOTHILL BLVD
UPLAND, CA 91786
San Bernardino County (909) 982-1002
ALI HEIDARI D.O.
Specialist
843 E FOOTHILL BLVD
UPLAND, CA 91786
San Bernardino County (909) 982-1002

Frequently 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 Merit Surgery Center, Inc's NPI number?

The NPI number for Merit Surgery Center, Inc is 1114103587. It was assigned to this organization in the NPPES registry on January 16, 2008.

Where is Merit Surgery Center, Inc located?

Merit Surgery Center, Inc is located at 843 E Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 982-1002.

What is Merit Surgery Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Merit Surgery Center, Inc enrolled in Medicare?

Yes. Merit Surgery Center, Inc is registered in the Medicare PECOS enrollment system.

When is Merit Surgery Center, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Merit Surgery Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1056118) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Merit Surgery Center, Inc was last updated on January 29, 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.