Mission Peak Orthopaedic Medical Group, Inc
NPI 1609888593ActiveOrganization· Orthopaedic Surgery· Fremont, CA
Orthopaedic Surgery in Fremont, California, registered in NPPES in August 2006. The authorized official on file is Lingagoud Memula, Administrator. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1609888593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2006 |
| Last updated in NPPES | Aug 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | A657720 | CA |
| Orthopaedic Surgery | 207X00000X | A698780 | CA |
| Physical Medicine & Rehabilitation | 208100000X | A81391 | CA |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | A81391 | CA |
| Physician Assistant | 363A00000X | PA17256 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA17256 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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