Advanced Pain Associates of California

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

20A10743 Issued in CA

Legal business name

ADVANCED PAIN ASSOCIATES OF CALIFORNIA

Practice address

6169 N Thesta St
Fresno, CA 93710-5266

Phone

(559) 435-1757

Fax

(559) 435-1768

NPI assigned

Dec 29, 2011

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul KyNPI 1043374028

Title

Sole Owner

Phone

(559) 435-1757

Specialties & licenses 2

Addresses

Other names 1

• advanced Pain Solutions Other name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Paul Ky

  • Interventional Pain Medicine Physician
  • Fresno, CA
  • NPI 1043374028

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1710256235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO ST",
            "address_2": "SUITE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103715",
            "telephone_number": "559-435-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-435-1757",
            "fax_number": "559-435-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN ASSOCIATES OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "KY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "559-435-1757"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A10743",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "RHC16861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advanced Pain Solutions",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "advanced Pain Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pain Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.