# CENTER FOR PAIN & REHABILITATION MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CPRM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477573285
- **Authorized official:** DR. MICHAEL M JADALI DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (408) 244-7246

## Contact information

- **Practice address:** 3097 MOORPARK AVE STE 200, SAN JOSE, CA 95128-2543
- **Practice address phone:** (408) 244-7246
- **Practice address fax:** (408) 244-7248
- **Mailing address:** 3097 MOORPARK AVE STE 200, SAN JOSE, CA 95128-2543
- **Mailing address phone:** (408) 244-7246
- **Mailing address fax:** (408) 244-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 01/15/2025
