ALMA AT ADDISON SURGERY CENTER, LLC
NPI 1114400280
Clinic/Center - Ambulatory Surgical in Palo Alto, CA

Active since September 13, 2018CLIA 05D2172914 · Waiver
105 ADDISON AVE, PALO ALTO, CA 94301(650) 327-3232(650) 327-1973 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2025, Sep 13, 2018 (2 updates tracked since 2018).

About Alma At Addison Surgery Center, Llc NPPES

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

ALMA AT ADDISON SURGERY CENTER, LLC (NPI 1114400280) is a healthcare organization registered as an ambulatory surgical in Palo Alto, California and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Sachin Shrikant Parikh, Co-chairman, as its authorized official.

NPPES Registry Identity

NPI1114400280
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALMA AT ADDISON SURGERY CENTER, LLC
Location Address105 ADDISON AVEPalo Alto, CA 94301-2401
Mailing Address105 Addison AvePalo Alto, CA 94301-2401 · (650) 327-3232
Fax(650) 327-1973
Organization SubpartNo
Authorized OfficialSachin Shrikant ParikhCo-chairman · (650) 327-3232
Enumeration DateSeptember 13, 2018
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1114400280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
105 ADDISON AVE, Palo Alto, CA 94301

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alma At Addison Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alma At Addison Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Otolaryngology
NPI 1750565891
105 ADDISON AVE
Palo Alto, CA 94301
(650) 327-3232
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1669670592
10385 CALVERT DR
Cupertino, CA 95014
(650) 396-7111
✔ PECOS12 mi
Otolaryngology
NPI 1023496650
2500 N STATE ST
Jackson, MS 39216
(601) 984-6885
✔ PECOS✔ Accepts Medicare1,841 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2172914

Alma At Addison Surgery Center · Palo Alto, CA
Active · expires Sep 30, 2027
CLIA Number05D2172914
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDavid M. Lieberman
Laboratory Phone(650) 327-3232
Laboratory LocationAlma At Addison Surgery Center105 Addison Ave, Palo Alto, CA 94301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Alma At Addison Surgery Center, LLC's NPI number?

The NPI number for Alma At Addison Surgery Center, LLC is 1114400280. It was assigned to this organization in the NPPES registry on September 13, 2018.

Where is Alma At Addison Surgery Center, LLC located?

Alma At Addison Surgery Center, LLC is located at 105 Addison Ave, Palo Alto, CA 94301. The listed phone number is (650) 327-3232.

What is Alma At Addison Surgery Center, LLC's specialty?

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

Is Alma At Addison Surgery Center, LLC enrolled in Medicare?

Yes. Alma At Addison Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alma At Addison Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Otolaryngology, reassign their Medicare billing to Alma At Addison Surgery Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alma At Addison Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2172914) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alma At Addison Surgery Center, LLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.