Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mission Peak Orthopaedic Medical Group, Inc

Organization Orthopaedic Surgery Physician · NPI 1639282551

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

Licensed in
CA
In the registry since
2006
Specialties on file
8
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

5924 Stoneridge Dr Ste 110
Pleasanton, CA 94588-5400
Phone: (925) 846-6200
Fax: (510) 797-5184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A698780 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A657720 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A81391 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A95318 (CA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence A81391 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence E4711 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA17256 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA17256 (CA)

Record details

NPI number1639282551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lingagoud Memula — Administrator · (510) 818-2011
NPI enumeratedAugust 16, 2006
Last updated in NPPESOctober 18, 2012
Mailing address686 Mowry Ave, Fremont, CA 94536-4113

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