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

North Peninsula Podiatry Group, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1104985886

North Peninsula Podiatry Group, Inc is a Foot & Ankle Surgery Podiatrist in San Bruno, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

560 Jenevein Ave
San Bruno, CA 94066
Phone: (650) 588-9189
Fax: (650) 588-2814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E3983 (CA)

Record details

NPI number1104985886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Meneses — Ofc. Coordinator · (650) 588-9189
NPI enumeratedDecember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address560 Jenevein Avenue, San Bruno, CA 94066

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