Active NPI
Nor Cal Urology Medical Group Inc
- Urology Physician
- Oakland, CA
National Provider Identifier
1275547127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- NOR CAL UROLOGY MEDICAL GROUP INC
- Practice address
- 3300 Webster St Ste 710
Oakland, CA 94609-3122 - Phone
- (510) 465-5800
- Fax
- (510) 267-1833
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Boots
- Title
- Practice Administrator
- Phone
- (510) 213-2261
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Urology Physician | 208800000X | CA | Primary |
Addresses
Primary practice location
3300 Webster St Ste 710
Oakland, CA 94609-3122
Mailing address
3300 Webster St Ste 710
Oakland, CA 94609-3122
Phone (510) 465-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0071770 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190907000305 | CA | DME Supplier - Physician - Urology | 4284696956 | Practice locations: Oakland, CA |
National Provider Directory
National Provider DirectoryLocations
20101 Lake Chabot Rd
#A
Castro Valley, CA 94546
Phone (415) 581-5330
2700 Grant St
Ste 316
Concord, CA 94520
Phone (925) 338-8511
5201 Norris Canyon Rd
Ste 21
San Ramon, CA 94583
Phone (925) 866-2100
355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764115200000",
"number": "1275547127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 WEBSTER ST STE 710",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093122",
"telephone_number": "510-465-5800",
"fax_number": "510-267-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WEBSTER ST STE 710",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093122",
"telephone_number": "510-465-5800",
"fax_number": "510-267-1833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOR CAL UROLOGY MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A",
"authorized_official_last_name": "BOOTS",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "510-213-2261"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0071770",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.