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MERRITT SURGERY CENTER LLC
NPI 1962385336
Clinic/Center - Ambulatory Surgical in Oakland, CA

Active since July 31, 2025CLIA 05D2331428 · Waiver
80 GRAND AVE STE L-1, OAKLAND, CA 94612(818) 855-1507 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Merritt Surgery Center Llc NPPES

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

MERRITT SURGERY CENTER LLC (NPI 1962385336) is a healthcare organization registered as an ambulatory surgical in Oakland, California and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Pelin Sen, Coo, as its authorized official.

NPPES Registry Identity

NPI1962385336
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMERRITT SURGERY CENTER LLC
Location Address80 GRAND AVE STE L-1Oakland, CA 94612-3725
Mailing Address425 15th St Unit 3195Manhattan Beach, CA 90266-7316 · (818) 855-1507
Phone(818) 855-1507
Organization SubpartNo
Authorized OfficialPelin SenCoo · (818) 855-1507
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1962385336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
80 GRAND AVE STE L-1, Oakland, CA 94612
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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 05D2331428

Merritt Surgery Center LLC · Oakland, CA
Active · expires Sep 30, 2027
CLIA Number05D2331428
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorRoy Kim
Laboratory Phone(818) 855-1507
Laboratory LocationMerritt Surgery Center LLC80 Grand Avenue Suite L-1, Oakland, CA 94612
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 Merritt Surgery Center LLC's NPI number?

The NPI number for Merritt Surgery Center LLC is 1962385336. It was assigned to this organization in the NPPES registry on July 31, 2025.

Where is Merritt Surgery Center LLC located?

Merritt Surgery Center LLC is located at 80 Grand Ave Ste L-1, Oakland, CA 94612. The listed phone number is (818) 855-1507.

What is Merritt Surgery Center LLC's specialty?

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

Does Merritt Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2331428) 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 Merritt Surgery Center LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.