EAST BAY SURGICAL CENTER LLC
NPI 1972490399
Clinic/Center - Ambulatory Surgical in San Leandro, CA
About East Bay Surgical Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY SURGICAL CENTER LLC (NPI 1972490399) is a healthcare organization registered as an ambulatory surgical in San Leandro, California and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Daniel Roshan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2328905
East Bay Surgical Center LLC · San Leandro, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
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 East Bay Surgical Center LLC's NPI number?
The NPI number for East Bay Surgical Center LLC is 1972490399. It was assigned to this organization in the NPPES registry on June 19, 2025.
Where is East Bay Surgical Center LLC located?
East Bay Surgical Center LLC is located at 13847 E 14th St Ste 116, San Leandro, CA 94578. The listed phone number is (818) 855-1507.
What is East Bay Surgical Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does East Bay Surgical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2328905) is associated with this NPI, valid through August 18, 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 East Bay Surgical Center LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# East Bay Surgical Center Llc · NPI 1972490399
Ambulatory Surgical organization in San Leandro, California. Organization record, active in the CMS NPPES registry since June 19, 2025.
## Identity
- **NPI:** 1972490399 (Entity type: Organization)
- **Enumerated:** June 19, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Daniel Roshan, CEO
## Practice location
- **Address:** 13847 E 14TH ST STE 116, San Leandro, CA 94578-2625
- **Phone:** (818) 855-1507
## Record status
- **NPPES last updated:** June 19, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1972490399) · Data from the CMS NPPES public registry.