MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC
NPI 1609888593
Orthopaedic Surgery in Fremont, CA

Q: What is Mission Peak Orthopaedic Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since August 12, 2006

39350 CIVIC CENTER DR STE 300, FREMONT, CA 94538(510) 797-3933(510) 797-5184 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mission Peak Orthopaedic Medical Group, Inc NPPES

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

MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC (NPI 1609888593) is a healthcare organization registered as an orthopaedic surgery in Fremont, California and active in the NPI registry since August 2006. The organization lists Lingagoud Memula, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609888593

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameMISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC

Location Address39350 CIVIC CENTER DR STE 300Fremont, CA 94538-2331

Mailing Address39350 Civic Center Dr Ste 300Fremont, CA 94538-2331 · (510) 797-3933 · Fax (510) 797-5184

Phone(510) 797-3933

Fax(510) 797-5184

Organization SubpartNo

Authorized OfficialLingagoud MemulaAdministrator · (510) 818-2011

Enumeration DateAugust 12, 2006

Last NPPES UpdateAugust 26, 2015

✔ NPI 1609888593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in CA · A657720✔ Licensed in CA · A698780

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License A81391 (CA)

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License A81391 (CA)

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17256 (CA)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA17256 (CA)

39350 CIVIC CENTER DR STE 300, Fremont, CA 94538

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Other Identifiers 6

Medicare UPINI45989CA

OtherZZZ5427ZCA · Blue Shield

Medicare UPING09341CA

Medicare ID-Type UnspecifiedZZZ16527ZCA

Medicare UPINI13175CA

Medicare NSC0429700002CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN DEPPER PA-C

Physician Assistant