1. Home
  2. Directory
  3. California
  4. Oakland
  5. Urology
  6. NPI Profile

NOR CAL UROLOGY MEDICAL GROUP INC
NPI 1275547127
Urology in Oakland, CA

Active since July 28, 2006
3300 WEBSTER ST STE 710, OAKLAND, CA 94609(510) 465-5800(510) 267-1833 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 26, 2025, Apr 2, 2024, Oct 20, 2023 and 2 more (5 updates tracked since 2019).

About Nor Cal Urology Medical Group Inc NPPES

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

NOR CAL UROLOGY MEDICAL GROUP INC (NPI 1275547127) is a healthcare organization registered as an urology in Oakland, California and active in the NPI registry since July 2006. The organization lists Brandon Boots, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1275547127
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNOR CAL UROLOGY MEDICAL GROUP INC
Location Address3300 WEBSTER ST STE 710Oakland, CA 94609-3122
Mailing Address3300 Webster St Ste 710Oakland, CA 94609-3122 · (510) 465-5800 · Fax (510) 267-1833
Phone(510) 465-5800
Fax(510) 267-1833
Organization SubpartNo
Authorized OfficialBrandon BootsPractice Administrator · (510) 213-2261
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 26, 20255 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1275547127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSpecialistTaxonomy 174400000X
3300 WEBSTER ST STE 710, Oakland, CA 94609
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0071770CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nor Cal Urology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20190907000305DME · Physician - UrologyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.

DR. SHU PAN M.D.
Urology
3300 WEBSTER ST STE 710
OAKLAND, CA 94609
Alameda County (510) 465-5800
ELIZABETH COOPER R.D., PA-C
Physician Assistant (Medical)
3300 WEBSTER ST STE 710
OAKLAND, CA 94609
Alameda County (510) 465-5800
NORCAL UROLOGY
Non-Pharmacy Dispensing Site
3300 WEBSTER ST STE 710
OAKLAND, CA 94609
Alameda County (510) 465-5800

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 Nor Cal Urology Medical Group Inc's NPI number?

The NPI number for Nor Cal Urology Medical Group Inc is 1275547127. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Nor Cal Urology Medical Group Inc located?

Nor Cal Urology Medical Group Inc is located at 3300 Webster St Ste 710, Oakland, CA 94609. The listed phone number is (510) 465-5800.

What is Nor Cal Urology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nor Cal Urology Medical Group Inc enrolled in Medicare?

Yes. Nor Cal Urology Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Nor Cal Urology Medical Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Urology) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Nor Cal Urology Medical Group Inc was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.