Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Peninsula Podiatry Group, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1104985886

North Peninsula Podiatry Group, Inc provides Foot & Ankle Surgery Podiatrist services in San Bruno, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

560 Jenevein Ave
San Bruno, CA 94066
Phone: (650) 588-9189
Fax: (650) 588-2814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E3983 (CA)

Record details

NPI number1104985886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Meneses — Ofc. Coordinator · (650) 588-9189
NPI enumeratedDecember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address560 Jenevein Avenue, San Bruno, CA 94066

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