James Petros, M.D., Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A90732 Issued in CA

Legal business name

JAMES PETROS, M.D., INC.

Doing business as

Allied Pain & Spine Institute

Practice address

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124

Phone

(408) 528-8833

Fax

(408) 528-8557

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Petros, MD

Title

Ceo/President

Phone

(408) 528-8833

Specialties & licenses 2

Addresses

Other names 1

• Allied Pain & Spine Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• James Petros, M.D., Inc.

  dba Allied Pain & Spine Institute

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

  0941479216

  Same PAC ID

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.

• James Petros, M.D., Inc.

  dba Allied Pain & Spine Institute

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

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1356732457",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BLOSSOM HILL RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-528-8833",
            "fax_number": "408-528-8557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Blossom Hill Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95124",
            "country_code": "US",
            "telephone_number": "408-528-8833",
            "fax_number": "408-528-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES PETROS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2022-04-19",
        "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": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A90732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Pain & Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-Pharmacy Dispensing Site in San Jose, CA
• Providers in San Jose, CA by specialty
• Non-Pharmacy Dispensing Site 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.