Mission Peak Orthopaedic Medical Group, Inc
NPI 1639282551ActiveOrganization· Orthopaedic Surgery· Pleasanton, CA
Orthopaedic Surgery in Pleasanton, California, registered in NPPES in August 2006. The authorized official on file is Lingagoud Memula, Administrator.
Overview
| NPI | 1639282551 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2006 |
| Last updated in NPPES | Oct 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | A698780 | CA |
| Orthopaedic Surgery | 207X00000X | A657720 | CA |
| Physical Medicine & Rehabilitation | 208100000X | A81391 | CA |
| Physical Medicine & Rehabilitation | 208100000X | A95318 | CA |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | A81391 | CA |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | E4711 | CA |
| Physician Assistant | 363A00000X | PA17256 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA17256 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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