Mission Peak Orthopaedic Medical Group, Inc

LBN: Mission Peak Orthopaedic Medical Group, Inc
Mission Peak Orthopaedic Medical Group, Inc is an health care organization with primary practice located at 39350 Civic Center Dr Ste 300 , Fremont CA 94538-2331. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Mission Peak Orthopaedic Medical Group, Inc can be contacted via phone (510) 797-3933, or through Memula, Lingagoud via phone (510) 818-2011.

Contact Information

Primary practice address
39350 Civic Center Dr Ste 300 Fremont CA 94538-2331
Phone: (510) 797-3933
Fax: (510) 797-5184
Website:
Map and Directions
Authorized official contact:
Name: Memula, Lingagoud
Phone: (510) 818-2011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A657720 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A698780 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A81391 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A81391 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17256 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA17256 California

Profile Details

NPI number 1609888593
LBN Legal business name Mission Peak Orthopaedic Medical Group, Inc
DBA Doing business as
Authorized official Memula, Lingagoud
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 26th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609888593 NPPES
California Other ZZZ5427Z BLUE SHIELD

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