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

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

Corporate family (same tax ID) 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2178263Advanced Pain Diagnostic & Solutions
1921 Sycamore Lane, Davis, CA 95616
Certificate of waiverJan 28, 2028

National Provider Directory

Tax ID family
Advanced Pain Diagnostic S (4 organizations share this tax ID)
Part of
Advanced Pain Diagnostic S

Locations

729 Sunrise Ave
Ste 611
Roseville, CA 95661
Phone (916) 953-7571

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2081P2900X
Interventional Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
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. Former legal business name

Other providers in Davis, CA

All providers in Davis, CA · Interventional Pain Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.