Advanced Pain Diagnostic & Solutions, Inc.
Organization Active NPI Interventional Pain Medicine Physician · Davis, CA
NPI 1316404262 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1316404262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.
- Practice address
- 1921 Sycamore LN
Davis, CA 95616-0844 - Phone
- (916) 953-7571
- Fax
- (916) 771-8515
- NPI assigned
- Feb 27, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.
Authorized official
- Name
- Kayvan D Haddadan, MD
- Title
- President & Chairman
- Phone
- (916) 953-7571
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 3
Practitioners 1
-
Kayvan D Haddadan, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2178263 | Advanced Pain Diagnostic & Solutions | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
- Tax ID family
- Advanced Pain Diagnostic S
- Part of
- Advanced Pain Diagnostic S
Locations
729 Sunrise Ave
Ste 611
Roseville, CA 95661
Phone (916) 953-7571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | |||
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
1921 Sycamore LN
Davis, CA 95616-0844
Mailing address
729 Sunrise Ave Ste 611
Roseville, CA 95661-4548
Phone (916) 953-7571
Other names
- Kayvan D. Haddadan, Inc.
Other providers in Davis, CA
- Jeremiah-David Addai
- Gbadebo Julius Adebayo
- Nicole Adelman
- Danen Adelson
- Mitchel Gregg Adler
- Advanced Valley Eye Associates
- Affinity Health, a Professional Nursing Corporation
- Jafar Afkham
- Patrice E Agredano
- Kristen Aiemjoy
All providers in Davis, CA · Interventional Pain Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- 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.