LAKE MERRITT FAMILY PRACTICE
NPI 1336643303
Family Medicine in Alameda, CA

Active since March 22, 2018CLIA 05D2071350 · Microscopy
450 PARK ST STE 100B, ALAMEDA, CA 94501(510) 992-3104(510) 227-6890 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Merritt Family Practice NPPES

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

LAKE MERRITT FAMILY PRACTICE (NPI 1336643303) is a healthcare organization registered as a family medicine in Alameda, California and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through January 9, 2028 and lists April Fredian, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1336643303
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAPRIL L FREDIAN
Location Address450 PARK ST STE 100BAlameda, CA 94501-6257
Mailing Address450 Park St Ste 100bAlameda, CA 94501-6257 · (510) 992-3104 · Fax (510) 227-6890
Fax(510) 227-6890
Organization SubpartNo
Authorized OfficialApril FredianMd/owner · (510) 992-3104
Enumeration DateMarch 22, 2018
NPI 1336643303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A108550
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
450 PARK ST STE 100B, Alameda, CA 94501

Other Names 1

Doing Business AsLake Merritt Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2071350

Lake Merritt Family Practice · Alameda, CA
Active · expires Jan 9, 2028
CLIA Number05D2071350
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorApril L. Fredian, MD
Laboratory Phone(510) 992-3104
Laboratory LocationLake Merritt Family Practice450 Park St Ste 100B, Alameda, CA 94501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 April L Fredian's NPI number?

The NPI number for April L Fredian is 1336643303. It was assigned to this organization in the NPPES registry on March 22, 2018. The provider is doing business as Lake Merritt Family Practice.

Where is April L Fredian located?

April L Fredian is located at 450 Park St Ste 100B, Alameda, CA 94501. The listed phone number is (510) 992-3104.

What is April L Fredian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does April L Fredian hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2071350) is associated with this NPI, valid through January 9, 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 April L Fredian was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.