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CISCO MEDICAL GROUP - RESEDA
NPI 1053408989
Clinic/Center - Primary Care in Reseda, CA

Active since October 10, 2006CLIA 05D1055441 · Waiver
18518 SHERMAN WAY, RESEDA, CA 91335(818) 757-0954(818) 757-0963 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2024, Mar 25, 2023, Jun 30, 2021 and 3 more (6 updates tracked since 2020).

About Cisco Medical Group - Reseda NPPES

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

CISCO MEDICAL GROUP - RESEDA (NPI 1053408989) is a healthcare organization registered as a primary care in Reseda, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Jose Francisco Martinez Cardenas, President/medical Director, as its authorized official.

NPPES Registry Identity

NPI1053408989
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCISCO MEDICAL GROUP, INC
Location Address18518 SHERMAN WAYReseda, CA 91335-4212
Mailing Address18518 Sherman WayReseda, CA 91335-4212 · (818) 757-0954 · Fax (818) 757-0963
Phone(818) 757-0954
Fax(818) 757-0963
Organization SubpartNo
Authorized OfficialJose Francisco Martinez CardenasPresident/medical Director · (818) 757-0954
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 11, 20246 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1053408989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
18518 SHERMAN WAY, Reseda, CA 91335
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Other Names 1

Doing Business AsCisco Medical Group - Reseda

Other Identifiers 2

MedicaidGR0103250CA
Other05D1055441CA · Clia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D1055441

Cisco Medical Group Inc · Reseda, CA
Active · expires Jun 15, 2028
CLIA Number05D1055441
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorJose F. Martinez
Laboratory Phone(818) 563-9571
Laboratory LocationCisco Medical Group Inc18518 Sherman Way, Reseda, CA 91335
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ANNETTE E SALDANA M.D.
General Practice
18518 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 757-0954
CARMEN CORTEZ ORTEGA
Physician Assistant
18518 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 757-0954
JOSE FRANCISCO MARTINEZ CARDENAS M.D.
Internal Medicine
18518 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 757-0954

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 Cisco Medical Group, Inc's NPI number?

The NPI number for Cisco Medical Group, Inc is 1053408989. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Cisco Medical Group - Reseda.

Where is Cisco Medical Group, Inc located?

Cisco Medical Group, Inc is located at 18518 Sherman Way, Reseda, CA 91335. The listed phone number is (818) 757-0954.

What is Cisco Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cisco Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1055441) is associated with this NPI, valid through June 15, 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 Cisco Medical Group, Inc was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.