James Michael Pellegrin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G41377 Issued in CA

Practice address

143 E Main St
Los Gatos, CA 95030-6903

Phone

(408) 354-3920

Fax

(408) 354-0782

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1649263484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E MAIN ST",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306903",
            "telephone_number": "408-354-3920",
            "fax_number": "408-354-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MAIN ST",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306903",
            "telephone_number": "408-354-3920",
            "fax_number": "408-354-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRIN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G41377",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G41377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynne Peck, PH.D.
• Brant Pedersen, D.C.
• Pediatric Health Medical Group
• Peers Associates, Inc
• Pellegrin Broad Morse & Moy MDS & DO
• Elmma Judith Pena, P.T.
• Chase Perez, DPT
• Manuel Alex Perez
• Performance Sports Clinic
• Bradford Thomas Perkins, M.D.

• Family Medicine Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.