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CULL CANYON SURGERY CENTER LLC
NPI 1992573513
Clinic/Center - Ambulatory Surgical in Castro Valley, CA

Active since December 13, 2023CLIA 05D2299829 · Waiver
20998 REDWOOD RD, CASTRO VALLEY, CA 94546(818) 855-1507 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cull Canyon Surgery Center Llc NPPES

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

CULL CANYON SURGERY CENTER LLC (NPI 1992573513) is a healthcare organization registered as an ambulatory surgical in Castro Valley, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Pelin Sen, Coo, as its authorized official.

NPPES Registry Identity

NPI1992573513
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCULL CANYON SURGERY CENTER LLC
Location Address20998 REDWOOD RDCastro Valley, CA 94546-5918
Mailing Address425 15th St Unit 3195Manhattan Beach, CA 90266-7316 · (818) 855-1507
Phone(818) 855-1507
Organization SubpartNo
Authorized OfficialPelin SenCoo · (310) 382-7539
Enumeration DateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1992573513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
20998 REDWOOD RD, Castro Valley, CA 94546
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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 05D2299829

Cull Canyon Surgery Center · Castro Valley, CA
Active · expires Feb 26, 2028
CLIA Number05D2299829
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorAndrew Vargas
Laboratory Phone(818) 855-1507
Laboratory LocationCull Canyon Surgery Center20998 Redwood Rd, Castro Valley, CA 94546
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 15

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

CASTRO VALLEY SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (510) 576-8500
BAEC ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (510) 538-9900
MARINA SWEE DO
Anesthesiology
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (510) 538-2828
DR. CHARLES ERNEST LOPEZ MD
Anesthesiology
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (510) 538-2828
DR. JEFFREY DO MD
Anesthesiology
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (510) 538-2828
BAY AREA ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (510) 538-9900
SEDAZE ANESTHESIA CONSULTANTS A PROFESSIONAL NURSING CORPORATION
Nurse Anesthetist, Certified Registered
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (510) 576-8500
REDWOOD SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
20998 REDWOOD RD
CASTRO VALLEY, CA 94546
Alameda County (925) 600-1900

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 Cull Canyon Surgery Center LLC's NPI number?

The NPI number for Cull Canyon Surgery Center LLC is 1992573513. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Cull Canyon Surgery Center LLC located?

Cull Canyon Surgery Center LLC is located at 20998 Redwood Rd, Castro Valley, CA 94546. The listed phone number is (818) 855-1507.

What is Cull Canyon Surgery Center LLC's specialty?

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

Does Cull Canyon Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2299829) is associated with this NPI, valid through February 26, 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 Cull Canyon Surgery Center LLC was last updated on December 13, 2023. 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.