OrganizationActive
Peninsula Prosthetics, Inc.
NPI 1043096811 · Prosthetic/Orthotic Supplier · Brisbane, CA
Peninsula Prosthetics, Inc. is a Prosthetic/Orthotic Supplier organization in Brisbane, CA (NPI 1043096811).
Provider details
- NPI number
- 1043096811
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jonathan Smith, President(916) 412-7813
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
165 Valley Dr
Brisbane, CA 94005-1340
Phone: (916) 412-7813
Fax: (866) 355-5906
Street-level locationGet directions
Mailing address
11 Hamilton Ct
Pacifica, CA 94044-1543
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Frequently asked questions
- What is Peninsula Prosthetics, Inc.'s NPI number?
- Peninsula Prosthetics, Inc.'s National Provider Identifier (NPI) is 1043096811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Prosthetics, Inc.?
- Peninsula Prosthetics, Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Peninsula Prosthetics, Inc. located?
- Peninsula Prosthetics, Inc.'s practice location on file with NPPES is 165 Valley Dr, Brisbane, CA 94005-1340.
- What is Peninsula Prosthetics, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Peninsula Prosthetics, Inc. is (916) 412-7813.
- Who is the authorized official for Peninsula Prosthetics, Inc.?
- The authorized official listed on Peninsula Prosthetics, Inc.'s NPPES record is Jonathan Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Prosthetics, Inc.'s NPI active?
- Yes — Peninsula Prosthetics, Inc.'s NPI (1043096811) is active in the NPPES registry as of the last update on 2023-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.