Active NPI
Center for Pain & Rehabilitation Medicine
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Jose, CA
National Provider Identifier
1477573285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- CENTER FOR PAIN & REHABILITATION MEDICINE
- Practice address
- 3097 Moorpark Ave Ste 200
San Jose, CA 95128-2543 - Phone
- (408) 244-7246
- Fax
- (408) 244-7248
- NPI assigned
- Jul 21, 2006
- 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. Michael M Jadali, DO
- Title
- Medical Director
- Phone
- (408) 244-7246
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | |||
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
3097 Moorpark Ave Ste 200
San Jose, CA 95128-2543
Mailing address
3097 Moorpark Ave Ste 200
San Jose, CA 95128-2543
Phone (408) 244-7246
Other names 1
- CPRM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
221 Almendra Ave
Los Gatos, CA 95030
Phone (408) 354-2300
3097 Moorpark Ave
Ste 200
San Jose, CA 95128
Phone (408) 244-7246
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- San Jose, CA
- NPI 1891723375
Pain Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Campbell, CA
- NPI 1750478681
-
- Chiropractor
- Santa Clara, CA
- NPI 1568717429
-
- Allergy & Immunology Physician
- Los Gatos, CA
- NPI 1255402640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1477573285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3097 MOORPARK AVE STE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282543",
"telephone_number": "408-244-7246",
"fax_number": "408-244-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3097 MOORPARK AVE STE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282543",
"telephone_number": "408-244-7246",
"fax_number": "408-244-7248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR PAIN & REHABILITATION MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "JADALI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "408-244-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P0301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CPRM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Jose, CA
- Center for Advanced Imaging LLC
- Center for Autism and Related Disorders LLC
- Center for Better Hearing AIDS
- Center for Cardiovascular Care a Medical Corporation
- Center for Independent Rehabilitative Services, Inc.
- Tandy James Centers, DDS
- Centerwell Certified Healthcare Corp.
- Victoria Mosqueda Centi, BCBA
- Central California Intensivist Services PC
- Cep America - Anesthesia PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.