JAMES PETROS, M.D., INC. (NPI# 1356732457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356732457 |
| Entity Type | Organization |
| Organization Name | JAMES PETROS, M.D., INC. |
| Other Organization Name | ALLIED PAIN & SPINE INSTITUTE |
| Practice Address |
1604 Blossom Hill Rd Ste 10 San Jose CA 95124 |
| Mailing Address |
1604 Blossom Hill Rd Ste 10 San Jose CA 95124-6350 |
| Practice Telephone | 4085288833 |
| Practice Fax Number | 4085288557 |
| Mailing Telephone | 4085288833 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DR. JAMES PETROS (CEO/PRESIDENT) |
| Authorized Official Telephone | 4085288833 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 332900000X | Non-Pharmacy Dispensing Site | A90732 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Allied Pain & Spine Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124 | 4085288833 | 4085288557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336448299 | James Petros, M.d., Inc. | Point of Service | 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124-6350 | 2011-03-17 |
| Street Address |
1604 BLOSSOM HILL RD STE 10 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336448299 | James Petros, M.d., Inc. | Point of Service | 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124-6350 | 2011-03-17 |
| 1255802112 | Karan Saini | Physician Assistant | 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124-6350 | 2018-12-17 |
| 1346723053 | Jeremy Balint | Physical Therapist | 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124-6350 | 2018-09-09 |
| 1093154551 | Sloane Yu | Physical Medicine & Rehabilitation | 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124-6350 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780026518 | San Jose Doctors On Duty | Non-Pharmacy Dispensing Site | 1910 N Capitol Ave, San Jose, CA 95132-1019 | 2013-07-22 |
| 1043263189 | Planned Parenthood Mar Monte, Inc | Non-Pharmacy Dispensing Site | 1691 The Alameda, San Jose, CA 95126-2203 | 2006-05-18 |
| 1689934473 | Nguyen Ky Dpm Inc | Non-Pharmacy Dispensing Site | 660 E Santa Clara St, San Jose, CA 95112-1931 | 2012-05-25 |
| 1821227000 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1811126097 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1265661441 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1043497266 | Navani Pain Management Inc. | Non-Pharmacy Dispensing Site | 2505 Samaritan Dr, Suite #601, San Jose, CA 95124-4006 | 2008-01-30 |
| 1316120173 | W Gordon Walker, Md | Non-Pharmacy Dispensing Site | 2505 Samaritan Dr, San Jose, CA 95124-4006 | 2007-12-14 |
| 1467635466 | Ronald C. Diebel, M.d. A Professional Corporation | Non-Pharmacy Dispensing Site | 251 Oconnor Dr, Suite 1, San Jose, CA 95128-1656 | 2007-12-12 |
| 1811194509 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 2585 Samaritan Dr, 2nd Floor, San Jose, CA 95124-4107 | 2007-06-27 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.