Organization Active NPI

Merritt Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Oakland, CA
National Provider Identifier
1962385336
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MERRITT SURGERY CENTER LLC
Practice address
80 Grand Ave Ste L-1
Oakland, CA 94612-3725
Phone
(818) 855-1507
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pelin Sen
Title
Coo
Phone
(818) 855-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

80 Grand Ave Ste L-1
Oakland, CA 94612-3725

Mailing address

425 15TH St Unit 3195
Manhattan Beach, CA 90266-7316
Phone (818) 855-1507

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2331428Merritt Surgery Center LLC80 Grand Avenue Suite L-1, Oakland, CA 94612Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

80 Grand Ave
Ste L1
Oakland, CA 94612

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1962385336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 15TH ST UNIT 3195",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667316",
            "telephone_number": "818-855-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE L-1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "818-855-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "SEN",
        "authorized_official_first_name": "PELIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-855-1507"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.