NPIMap

Organization Active NPI

Advanced Pain Diagnostic & Solutions, Inc.

  • Pain Clinic/Center
  • Roseville, CA
National Provider Identifier
1427322635
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
729 Sunrise Ave Ste 602
Roseville, CA 95661-4542
Phone
(916) 953-7571
Fax
(916) 771-8515
NPI assigned
Mar 6, 2012
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

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
Dr. Kayvan Don Haddadan, M.D.NPI 1538127832
Title
President
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 Primary

Addresses

Primary practice location

729 Sunrise Ave Ste 602
Roseville, CA 95661-4542

Mailing address

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

Other practice location 1

2160 Sunset Blvd Ste 502
Rocklin, CA 95765-4790
Phone (916) 953-7571

Other practice location 2

650 Howe Ave Ste 600
Sacramento, CA 95825-4797
Phone (916) 953-7571

Other practice location 3

470 Del Norte Ave
Yuba City, CA 95991-4125
Phone (916) 953-7571

Other names 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000538 CA Part B Supplier - Clinic/Group Practice 2264695196 Receives reassigned benefits from 35 practitioners
1 other NPI on this enrollment
Practice locations: Sacramento, CA; Yuba City, CA; Folsom, CA; Rocklin, CA; Roseville, CA; Davis, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2065692Advanced Pain Diagnostic & Solutions729 Sunrise Ave, Ste 602, Roseville, CA 95661AccreditationOct 6, 2027

National Provider Directory

National Provider Directory

Locations

2234 Longport Ct
Elk Grove, CA 95758

400 Plaza Dr
Ste 160
Folsom, CA 95630
Phone (916) 458-5435

2150 Sunset Blvd Ste 502
Rocklin, CA 95765

729 Sunrise Ave
Ste 607
Roseville, CA 95661
Phone (916) 782-3900

650 Howe Ave
Ste 601
Sacramento, CA 95825

701 Howe Ave
Ste C
Sacramento, CA 95825
Phone (916) 972-1100

701 Howe Ave
Ste C5
Sacramento, CA 95825
Phone (916) 972-1115

470 Del Norte Ave
#480
Yuba City, CA 95991

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1427322635",
    "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": "729 SUNRISE AVE STE 602",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614542",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 Sunset Blvd Ste 502",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957654790",
            "country_code": "US",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Howe Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254797",
            "country_code": "US",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 Del Norte Ave",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959914125",
            "country_code": "US",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "HADDADAN",
        "authorized_official_first_name": "KAYVAN",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-786-6192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayvan D. Haddadan, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roseville, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.