East Bay Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST BAY SURGICAL CENTER LLC

Practice address

13847 E 14TH St Ste 116
San Leandro, CA 94578-2625

Phone

(818) 855-1507

NPI assigned

Jun 19, 2025

Organization subpart

No

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

Authorized official

Name

Daniel Roshan, MD

Title

Ceo

Phone

(310) 415-1047

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1972490399",
    "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": "13847 E 14TH ST STE 116",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782625",
            "telephone_number": "818-855-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-415-1047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Agency for Children
• East Bay Foot & Ankle Clinic Inc
• East Bay Hand Medical Center, Inc
• East Bay Innovations
• East Bay Rheumatology Medical Group, Inc.
• Quiana Easter
• Kiara Jaliyah Eastman, BEHAVIOR SPECIALIST
• Rachel Easton
• Sandra Villanueva Eaton, NP
• John Ebert

• Ambulatory Surgical Clinic/Center in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.