Advanced Pain Diagnostic & Solutions, Inc.
Organization Active NPI Pain Clinic/Center · Yuba City, CA
NPI 1124547559 · NPPES record last updated Jun 22, 2020
Key facts
- NPI
- 1124547559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- Legal business name
- ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.
- Practice address
- 480 Del Norte Ave
Yuba City, CA 95991-4125 - Phone
- (916) 953-7571
- Fax
- (916) 771-8515
- NPI assigned
- Sep 18, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED PAIN DIAGNOSTICS & SOLUTIONS, INC.
Authorized official
- Name
- Kayvan Haddadan, MD
- Title
- President & Chairman
- Phone
- (415) 786-6192
Other NPIs on the same Medicare enrollment 1
Practitioners 25
-
David Mendiola Basco III, NURSE PRACTITIONER
-
Arian Andrea Behziz, DNP
-
Kemesha Delisser, MD
-
Parvez Mehboob Fatteh, M.D.
-
Melissa Lal, NP
-
Angela Luu, PA
-
T J Maroon II, M.D.
-
Kathrina Paragna, NP-BC
-
Benjamin Pearce, NP
-
Amy Strouse, D.O.
-
Carey Webster, FNP
-
Mayra L Bobadilla, PA-C
-
Brian Tod Jenkins, M.D.
-
Rajwinder Kaur, FNP
-
Bingtao Lin, MD
-
David Oh, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2178230 | Advanced Pain Diagnostic & Solutions | Certificate of waiver | Jan 28, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120511000538 | CA | Part B Supplier - Clinic/Group Practice | 2264695196 |
Receives reassigned benefits from 35 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, CA; Yuba City, CA; Folsom, CA; Rocklin, CA; Roseville, CA; Davis, CA |
National Provider Directory
- Part of
- Advanced Pain Diagnostic S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Yes |
Addresses
Primary practice location
480 Del Norte Ave
Yuba City, CA 95991-4125
Mailing address
729 Sunrise Ave Ste 602
Roseville, CA 95661-4542
Phone (916) 953-7571
Other names
- Kayvan D. Haddadan, Inc.
Other providers in Yuba City, CA
- Emily Adcock
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- Addiction Treatment Services Inc
- Advanced Eyecare, an Optometric Corporation
- Advanced Eyecare, an Optometric Corporation
- Advanced Spinal Rehabilitation, Inc.
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
All providers in Yuba City, CA · Pain Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.