Michael M Jadali, D.O. , RPH

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

20A9504 Issued in CA

Practice address

3097 Moorpark Ave Ste 200
San Jose, CA 95128-2543

Phone

(408) 244-7246

Fax

(408) 244-7248

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Pain and Rehabilitation MedicineGroup PAC ID 7214935055, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Registered Pharmacist

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Pain & Rehabilitation Medicine

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Jose, CA
  • NPI 1477573285
  Medicare reassignment Care Compare group NPD Authorized official
• Pain & Injury Institute PC

  • Pain Clinic/Center
  • San Jose, CA
  • NPI 1013750512

  Pain Medicine

  NPD Authorized official
• Evergreen Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
  • NPI 1538618368
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1891723375",
    "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": {
        "last_name": "JADALI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O. , RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A9504",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A9504",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "20A9504",
            "primary": true
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A9504",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A9504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline B. Nguyen, D.D.S., a Professional Corporation
• Jacqueline Broughton DC
• Daniel Aaron Jacques, MS, CCP
• Yesena Celina Jacques, MHS PP-2
• Evangelina Jacy
• Sami A Jadallah, MD
• Nisha Jadhaw, M.D.
• Shahrzad Jafarnia
• Madhuri Jagadeesh
• Manasa Jagarlamudi

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.