PENINSULA PROSTHETICS, INC.
NPI 1043096811
Prosthetic/Orthotic Supplier in Brisbane, CA

Active since September 06, 2023
165 VALLEY DR, BRISBANE, CA 94005(916) 412-7813(866) 355-5906 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peninsula Prosthetics, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PROSTHETICS, INC. (NPI 1043096811) is a healthcare organization registered as a prosthetic/orthotic supplier in Brisbane, California and active in the NPI registry since September 2023. The organization lists Jonathan Michael Smith, President, as its authorized official.

NPPES Registry Identity

NPI1043096811
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePENINSULA PROSTHETICS, INC.
Location Address165 VALLEY DRBrisbane, CA 94005-1340
Mailing Address11 Hamilton CtPacifica, CA 94044-1543 · (916) 412-7813 · Fax (866) 355-5906
Fax(866) 355-5906
Organization SubpartNo
Authorized OfficialJonathan Michael SmithPresident · (916) 412-7813
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
NPI 1043096811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

165 VALLEY DR, Brisbane, CA 94005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Prosthetics, Inc.'s NPI number?

The NPI number for Peninsula Prosthetics, Inc. is 1043096811. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Peninsula Prosthetics, Inc. located?

Peninsula Prosthetics, Inc. is located at 165 Valley Dr, Brisbane, CA 94005. The listed phone number is (916) 412-7813.

What is Peninsula Prosthetics, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Peninsula Prosthetics, Inc. was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.