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Mission Peak Orthopaedic Medical Group, Inc

Orthopaedic Surgery Physician in Fremont, CA · enumerated 2006 · authorized official Lingagoud Memula, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609888593

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Registry record

Entity type Organization (Type 2)
Legal business name Mission Peak Orthopaedic Medical Group, Inc
Practice address 39350 Civic Center Dr Ste 300, Fremont, CA, 94538
Fax (510) 797-5184
Enumeration date Aug 12, 2006
Last updated in NPPES Aug 26, 2015

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License A657720 (CA) Primary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License A698780 (CA) Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License A81391 (CA) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License A81391 (CA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA17256 (CA) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA17256 (CA) Secondary

Authorized official

Name Lingagoud Memula
Title Administrator

Other identifiers

Identifier Type State Issuer
ZZZ5427Z Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-26. Verify at npiregistry.cms.hhs.gov.
Where is Mission Peak Orthopaedic Medical Group, Inc located?
The practice location on file with NPPES is in Fremont, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-26.