Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mission Peak Orthopaedic Medical Group, Inc

Organization Orthopaedic Surgery Physician · NPI 1609888593

Mission Peak Orthopaedic Medical Group, Inc is an Orthopaedic Surgery Physician in Fremont, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39350 Civic Center Dr Ste 300
Fremont, CA 94538-2331
Phone: (510) 797-3933
Fax: (510) 797-5184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A657720 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A698780 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A81391 (CA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence A81391 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA17256 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA17256 (CA)

Record details

NPI number1609888593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lingagoud Memula — Administrator · (510) 818-2011
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 26, 2015
Mailing address39350 Civic Center Dr Ste 300, Fremont, CA 94538-2331

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