James Petros, M.D., Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JAMES PETROS, M.D., INC.

Doing business as

Allied Pain & Spine

Practice address

16275 Monterey Rd Ste H
Morgan Hill, CA 95037-5466

Phone

(408) 528-8333

Fax

(408) 827-4171

NPI assigned

Apr 19, 2022

Last updated

Apr 19, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

JAMES PETROS, MD, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Waterstreet

Title

Manager

Phone

(408) 528-8833

Specialties & licenses 7

Addresses

Other names 1

• Allied Pain & Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• James Petros, M.D., Inc.

  dba Allied Pain & Spine

  • Physical Medicine & Rehabilitation Physician
  • Mountain View, CA
  • NPI 1235872060

  O20110803000651

  Same enrollment
• James Petros, M.D., Inc.

  dba Allied Pain & Spine Institute

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
  • NPI 1336448299

  O20110803000651

  Same enrollment
• James Petros, M.D., Inc.

  dba Allied Pain & Spine

  • Physical Medicine & Rehabilitation Physician
  • San Leandro, CA
  • NPI 1710620554

  O20110803000651

  Same enrollment

Part of

James Petros MD Inc

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ninad S Karandikar, MD

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
  • NPI 1184892606
  NPD
• Richard W Keyme, MD

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
  • NPI 1174866107
  NPD
• Mark Steinberg

  • Clinical Neuropsychologist
  • Los Gatos, CA
  • NPI 1518232644
  NPD
• Patrick Joseph Polsunas, MD

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
  • NPI 1366972549
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1023751856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 BLOSSOM HILL RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246350",
            "telephone_number": "408-528-8833",
            "fax_number": "408-827-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16275 MONTEREY RD STE H",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375466",
            "telephone_number": "408-528-8333",
            "fax_number": "408-827-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PETROS, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES PETROS, MD, INC",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "WATERSTREET",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-528-8833"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Pain & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas Eugene Isaksen, DDS
• Daniel Kareef Jackson
• Kevin Shahram Jahanian, LMFT
• Arjumand Wajid Jalaldin
• Mohammad Reza Jalalian
• Meeseon Jang
• Jeet Care Inc. (Nurse Next Door San Jose)
• Jenny Hong Hong DDS Inc (Timeless Smiles Morgan Hill)
• Liqin Jiang
• Ashley Jimenez

• Physical Medicine & Rehabilitation Physician in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.