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

Peter K Mansuripur, MD

Individual provider Orthopaedic Surgery Physician · NPI 1588984306

Peter K Mansuripur, MD is an Orthopedic Surgery in Vallejo, California. Graduated from Yale University School of Medicine in 2010, 16 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Rhode Island.

Years since qualifying
16
Trained at
Yale University School of Medicine
Licensed in
CA, RI
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

975 Sereno Dr
Vallejo, CA 94589
Phone: (707) 651-2549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Broadway St, Redwood City, CA 94063-3132 — (650) 721-7626

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence A140883 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 14894 (RI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence LP01956 (RI)

Record details

NPI number1588984306
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESFebruary 11, 2022
Mailing address975 Sereno Dr, Vallejo, CA 94589-2441

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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