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SYCAMORE MEDICAL GROUP INC
NPI 1770629412
Internal Medicine in Hercules, CA

Active since January 29, 2007CLIA 05D0947246 · Microscopy
500 ALFRED NOBEL DR STE 150, HERCULES, CA 94547(510) 724-2121 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sycamore Medical Group Inc NPPES

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

SYCAMORE MEDICAL GROUP INC (NPI 1770629412) is a healthcare organization registered as an internal medicine in Hercules, California and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through June 10, 2028 and lists Rudolph Cadang, Partner, as its authorized official.

NPPES Registry Identity

NPI1770629412
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSYCAMORE MEDICAL GROUP INC
Location Address500 ALFRED NOBEL DR STE 150Hercules, CA 94547-1842
Mailing Address500 Alfred Nobel Dr Ste 150Hercules, CA 94547-1842 · (510) 724-2121
Phone(510) 724-2121
Organization SubpartNo
Authorized OfficialRudolph CadangPartner · (510) 724-2121
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 17, 2013
✔ NPI 1770629412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
500 ALFRED NOBEL DR STE 150, Hercules, CA 94547
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Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ14913ZCA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0947246

Sycamore Medical Group Inc · Hercules, CA
Active · expires Jun 10, 2028
CLIA Number05D0947246
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorMaria C. Escalada, MD
Laboratory Phone(510) 741-2111
Laboratory LocationSycamore Medical Group Inc500 Alfred Nobel Drive Suite 150, Hercules, CA 94547
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Sycamore Medical Group Inc's NPI number?

The NPI number for Sycamore Medical Group Inc is 1770629412. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Sycamore Medical Group Inc located?

Sycamore Medical Group Inc is located at 500 Alfred Nobel Dr Ste 150, Hercules, CA 94547. The listed phone number is (510) 724-2121.

What is Sycamore Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sycamore Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0947246) is associated with this NPI, valid through June 10, 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 Sycamore Medical Group Inc was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.