Jim Pietrantonio, O D

Primary specialty

OptometristTaxonomy code 152W00000X

License

10400T Issued in CA

Practice address

233 N Santa Cruz Ave
Los Gatos, CA 95030-7206

Phone

(408) 354-9310

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• Kim Khanh Nguyen OD Inc

  • Optometrist
  • San Jose, CA
  • NPI 1629470950
  NPD (past)
• Pietrantonio Optometric Inc

  • Optometrist
  • San Jose, CA
  • NPI 1922346469
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285701680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N SANTA CRUZ AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307206",
            "telephone_number": "408-354-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N SANTA CRUZ AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307206",
            "telephone_number": "408-354-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRANTONIO",
        "first_name": "JIM",
        "name_prefix": "Dr.",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10400T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip T. Ho, MD, Inc.
• Christine Phillips
• Jenelle Phillips, LCSW
• Abigail Philllips
• Physical Therapy of Los Gatos
• Magdalena Kamila Pikala
• Rosanna Luca Pillari, R.N.
• John Pina, PH.D.
• Loree Pinnavaia, D.C.
• Danielle Pizzuto, DPT

• Optometrist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.