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

Peninsula Prosthetics, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1043096811

Peninsula Prosthetics, Inc is a Prosthetic/Orthotic Supplier in Brisbane, California. Registered with an NPI since 2023.

In the registry since
2023
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

165 Valley Dr
Brisbane, CA 94005-1340
Phone: (916) 412-7813
Fax: (866) 355-5906
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1043096811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Smith — President · (916) 412-7813
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address11 Hamilton Ct, Pacifica, CA 94044-1543