NPIMap

Organization Active NPI

James Petros, M.D., Inc.

Doing business as Allied Pain & Spine Institute

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
National Provider Identifier
1336448299
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
JAMES PETROS, M.D., INC.
Doing business as
Allied Pain & Spine Institute
Practice address
14777 Los Gatos Blvd Ste 201
Los Gatos, CA 95032-2059
Phone
(408) 528-8833
NPI assigned
Mar 17, 2011
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. James Petros, MDNPI 1194994996
Title
Ceo/President
Phone
(408) 528-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X A90732 CA
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

14777 Los Gatos Blvd Ste 201
Los Gatos, CA 95032-2059

Mailing address

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350
Phone (408) 528-8833

Other practice location 1

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350
Phone (408) 528-8833

Other practice location 2

100 W El Camino Real Ste 79
Mountain View, CA 94040-2679
Phone (408) 528-8833

Other practice location 3

16275 Monterey St Ste H
Morgan Hill, CA 95037-5466
Phone (408) 528-8833

Other practice location 4

433 Estudillo Ave Ste 305
San Leandro, CA 94577-4915
Phone (408) 528-8833

Other identifiers 11

IdentifierTypeStateIssuer
1205033594MedicaidCA
1598230617MedicaidCA
1194994996MedicaidCA
1588322960MedicaidCA
1184840522MedicaidCA
1831715531MedicaidCA
1326665886MedicaidCA
1568616563MedicaidCA
1043830896OtherCANPI
1043830896MedicaidCA
1174866107MedicaidCA

Other names 1

  • Allied Pain & Spine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110803000651 CA Part B Supplier - Clinic/Group Practice 0941479216 Receives reassigned benefits from 32 practitioners
3 other NPIs on this enrollment
Practice locations: Los Gatos, CA; Morgan Hill, CA; Mountain View, CA; San Jose, CA; San Leandro, CA
O20220712000938 CA DME Supplier - Physician - Unknown Physician SpecialtyDME Supplier - Physician - Interventional Pain Management 0941479216 Practice locations: Morgan Hill, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
James Petros MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14777 Los Gatos Blvd
Ste 201
Los Gatos, CA 95032
Phone (408) 243-2020

100 W El Camino Real
Ste 79
Mountain View, CA 94040
Phone (408) 528-8833

433 Estudillo Ave
Ste 305
San Leandro, CA 94577
Phone (408) 528-8833

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1336448299",
    "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": "408-528-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14777 LOS GATOS BLVD STE 201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322059",
            "telephone_number": "408-528-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Blossom Hill Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951246350",
            "country_code": "US",
            "telephone_number": "408-528-8833",
            "fax_number": "408-528-8557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W El Camino Real Ste 79",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402679",
            "country_code": "US",
            "telephone_number": "408-528-8833",
            "fax_number": "408-528-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16275 Monterey St Ste H",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950375466",
            "country_code": "US",
            "telephone_number": "408-528-8833",
            "fax_number": "408-827-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Estudillo Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774915",
            "country_code": "US",
            "telephone_number": "408-528-8833",
            "fax_number": "408-827-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES PETROS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "PETROS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "408-528-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "A90732",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205033594",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598230617",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194994996",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588322960",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184840522",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831715531",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326665886",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568616563",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043830896",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043830896",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174866107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Pain & Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.