Sycamore Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SYCAMORE MEDICAL GROUP INC

Practice address

500 Alfred Nobel Dr Ste 150
Hercules, CA 94547-1842

Phone

(510) 724-2121

NPI assigned

Jan 29, 2007

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rudolph Cadang, MD

Title

Partner

Phone

(510) 724-2121

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clarisse Elaine Cadang, M.D.

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1588083075
  Medicare reassignment Care Compare group NPD
• Rodolfo Cadang, M.D.

  • Internal Medicine Physician
  • Hercules, CA
  • NPI 1508898990
  Medicare reassignment Care Compare group NPD
• Maria Escalada, M.D.

  • Family Medicine Physician
  • Hercules, CA
  • NPI 1497787899
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1770629412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 150",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471842",
            "telephone_number": "510-724-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 150",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471842",
            "telephone_number": "510-724-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "CADANG",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "510-724-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Djuanna Lashea Stewart
• Randall William Storkson
• Safari Dajour Stringer
• Lee James Stumbaugh
• Sycamore Family Dentistry
• T. Nguyen, DDS, Corporation
• Sara Takla
• Xueting Tang, MS OT
• Ashley Taylor
• Christina Marie Taylor

• Internal Medicine Physician in Hercules, CA
• Providers in Hercules, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.