| Sycamore Medical Group Inc | |
|
500 Alfred Nobel Dr Ste 150 Hercules CA 94547-1842 | |
| (510) 724-2121 | |
| Not Available |
| Full Name | Sycamore Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Alfred Nobel Dr Ste 150, Hercules, California |
| Authorized Official Name and Position | Rudolph Cadang (PARTNER) |
| Authorized Official Contact | 5107242121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Medical Group Inc 500 Alfred Nobel Dr Ste 150 Hercules CA 94547-1842 Ph: (510) 724-2121 | Sycamore Medical Group Inc 500 Alfred Nobel Dr Ste 150 Hercules CA 94547-1842 Ph: (510) 724-2121 |
| NPI Number | 1770629412 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 01/17/2013 |
| Medicare PECOS PAC ID | 3173585098 |
|---|---|
| Medicare Enrollment ID | O20041102000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770629412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maria C Escalada |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497787899 PECOS PAC ID: 8527020445 Enrollment ID: I20081218000353 |
| Provider Name | Rodolfo A Cadang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508898990 PECOS PAC ID: 5698820272 Enrollment ID: I20090903000177 |
| Provider Name | Clarisse Elaine Cadang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588083075 PECOS PAC ID: 6507132628 Enrollment ID: I20200116002477 |
Herculean Babies Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Alfred Nobel Dr Ste 255a, Hercules, CA 94547 Phone: 510-964-9647 |