Active NPI
Kalle Stidham D.O. Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- San Jose, CA
National Provider Identifier
1376451807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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.