Organization
JAMES PETROS, M.D., INC.
Active
Other names
Allied Pain & Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PETROS MD (CEO/PRESIDENT)
(408) 528-8833
Entity
Organization
Contact information
Practice address
14777 LOS GATOS BLVD STE 201, LOS GATOS, CA 95032-2059
(408) 528-8833
Mailing address
1604 BLOSSOM HILL RD STE 10, SAN JOSE, CA 95124-6350
(408) 528-8833
(408) 528-8557
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
305S00000X
Point of Service
A90732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043830896
NPI
CA
05
—
1043830896
—
CA
05
—
1174866107
—
CA
05
—
1184840522
—
CA
05
—
1194994996
—
CA
05
—
1205033594
—
CA
05
—
1326665886
—
CA
05
—
1568616563
—
CA
05
—
1588322960
—
CA
05
—
1598230617
—
CA
05
—
1831715531
—
CA
Enumeration date
03/17/2011
Last updated
05/11/2022
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