MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC
NPI 1639282551
Orthopaedic Surgery in Pleasanton, CA

Active since August 16, 2006
5924 STONERIDGE DRIVE, SUITE 110, PLEASANTON, CA 94588(925) 846-6200(510) 797-5184 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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 1639282551) is a healthcare organization registered as an orthopaedic surgery in Pleasanton, California and active in the NPI registry since August 2006. The organization lists Lingagoud Memula, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639282551
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC
Location Address5924 STONERIDGE DRIVE, SUITE 110Pleasanton, CA 94588-5400
Mailing Address686 Mowry AveFremont, CA 94536-4113 · (510) 797-3933 · Fax (510) 797-5184
Fax(510) 797-5184
Organization SubpartNo
Authorized OfficialLingagoud MemulaAdministrator · (510) 818-2011
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 18, 2012
✔ NPI 1639282551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in CA · A698780✔ Licensed in CA · A657720
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), A95318 (CA)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License A81391 (CA)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License E4711 (CA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17256 (CA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA17256 (CA)
5924 STONERIDGE DRIVE, Pleasanton, CA 94588

Other Identifiers 5

OtherZZZ5427ZCA · Blue Shield
Medicare UPING09341CA
Medicare PINZZZ16527ZCA
Medicare UPINI13175CA
Medicare UPINI45989CA

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

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

Dentist (General Practice)
5924 STONERIDGE DRIVE, 209A
PLEASANTON, CA 94588

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 Mission Peak Orthopaedic Medical Group, Inc's NPI number?

The NPI number for Mission Peak Orthopaedic Medical Group, Inc is 1639282551. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Mission Peak Orthopaedic Medical Group, Inc located?

Mission Peak Orthopaedic Medical Group, Inc is located at 5924 Stoneridge Drive Suite 110, Pleasanton, CA 94588. The listed phone number is (925) 846-6200.

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

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

When was this NPI record last updated?

The NPPES record for Mission Peak Orthopaedic Medical Group, Inc was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.