NPIMap

Organization Active NPI

Advanced Pain Diagnostic & Solutions, Inc.

  • Pain Clinic/Center
  • Sacramento, CA
National Provider Identifier
1174042519
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.
Practice address
650 Howe Ave Ste 600
Sacramento, CA 95825-4797
Phone
(916) 953-7571
Fax
(916) 771-8515
NPI assigned
Sep 18, 2017
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Kayvan Haddadan, MDNPI 1538127832
Title
President & Chairman
Phone
(415) 786-6192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

650 Howe Ave Ste 600
Sacramento, CA 95825-4797

Mailing address

729 Sunrise Ave Ste 602
Roseville, CA 95661-4542
Phone (916) 953-7571

Other names 1

  • Kayvan D. Haddadan, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kayvan D Haddadan Inc4 organizations share this tax ID, including this one
Part of
Kayvan D Haddadan Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1174042519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 602",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614542",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254797",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.",
        "enumeration_date": "2017-09-18",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "HADDADAN",
        "authorized_official_first_name": "KAYVAN",
        "authorized_official_title_or_position": "PRESIDENT & CHAIRMAN",
        "authorized_official_telephone_number": "415-786-6192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayvan D. Haddadan, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kayvan D. Haddadan, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.