Organization Active NPI

Kalle Stidham D.O. Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Jose, CA
National Provider Identifier
1376451807
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
KALLE STIDHAM D.O. INC
Practice address
125 N Jackson Ave Ste 205
San Jose, CA 95116-1915
Phone
(408) 929-5610
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Dr. Kalle Stidham, DO
Title
Orthopedic Surgeon
Phone
(650) 319-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

125 N Jackson Ave Ste 205
San Jose, CA 95116-1915

Mailing address

125 N Jackson Ave Ste 205
San Jose, CA 95116-1915
Phone (408) 258-6565

Other practice location 1

200 Jose Figueres Ave Ste 225
San Jose, CA 95116-1588
Phone (408) 929-5610

Other practice location 2

39470 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone (510) 797-5550

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1376451807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161915",
            "telephone_number": "408-258-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161915",
            "telephone_number": "408-929-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Jose Figueres Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161588",
            "country_code": "US",
            "telephone_number": "408-929-5610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39470 Paseo Padre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382310",
            "country_code": "US",
            "telephone_number": "510-797-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALLE STIDHAM D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "STIDHAM",
        "authorized_official_first_name": "KALLE",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "650-319-5771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.