ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC. (NPI# 1427322635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427322635 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC. |
| Other Organization Name | KAYVAN D. HADDADAN, INC. |
| Practice Address |
729 Sunrise Ave Ste 602 Roseville CA 95661-4542 |
| Practice Telephone | 9169537571 |
| Practice Fax Number | 9167718515 |
| Mailing Telephone | 9169537571 |
| Mailing Fax Number | 9167718515 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | DR. KAYVAN DON HADDADAN (PRESIDENT) |
| Authorized Official Telephone | 4157866192 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID TYPE UNSPECIFIED | 00A879570 | 01 |
| MEDICARE RAILROAD | POO745259 | 01 |
| Other Name | Type Code |
|---|---|
| Kayvan D. Haddadan, Inc. | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 Sunset Blvd Ste 502, Rocklin, CA 957654790 | 8885432243 | 8558647246 |
| 2160 Sunset Blvd Ste 502, Rocklin, CA 957654790 | 9169537571 | 9167718515 |
| 470 Del Norte Ave, Yuba City, CA 959914125 | 8885432243 | 8555852243 |
| 470 Del Norte Ave, Yuba City, CA 959914125 | 9169537571 | 9167718515 |
| 650 Howe Ave Ste 600, Sacramento, CA 958254797 | 8885432243 | 8888647246 |
| 650 Howe Ave Ste 600, Sacramento, CA 958254797 | 9169537571 | 9167718515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1134648694 | Advanced Pain Diagnostic & Solutions, Inc. | Clinic/Center | 2160 Sunset Blvd Ste 502, Rocklin, CA 95765-4790 | 2017-09-15 |
| 1174042519 | Advanced Pain Diagnostic & Solutions, Inc. | Clinic/Center | 650 Howe Ave Ste 600, Sacramento, CA 95825-4797 | 2017-09-18 |
| 1124547559 | Advanced Pain Diagnostic & Solutions, Inc. | Clinic/Center | 480 Del Norte Ave, Yuba City, CA 95991-4125 | 2017-09-18 |
| Street Address |
729 SUNRISE AVE STE 602 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720056153 | T J Maroon II | Anesthesiology | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2006-03-10 |
| 1548882012 | Benjamin Pearce | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2020-05-07 |
| 1689224909 | Christopher Duval Phillips | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2019-09-18 |
| 1184111569 | Arshin Kaviani Destjerdi | Pharmacist | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2018-04-20 |
| 1790292712 | Sara Niknam | Physician Assistant | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2017-12-29 |
| 1134550213 | Vanessa Kovarik Brown | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2013-11-27 |
| 1639227044 | Victor Manuel Nava | Specialist | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2007-01-08 |
| 1396834560 | R&r Physical Medicine and Rehabilitation Medical Clinic, Inc | Physical Medicine & Rehabilitation | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
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| 1689219594 | Koda Therapy Group | Clinic/Center | 2421 Park Blvd Ste B205, Palo Alto, CA 94306-1998 | 2019-11-14 |
| 1184278293 | Acu Therapy Pain Clinic, Inc | Clinic/Center | 1840 Westwood Blvd, Los Angeles, CA 90025-4612 | 2019-07-26 |
| 1851944110 | Onyx Pain Management Medical Corporation | Clinic/Center | 1250 S Sunset Ave Ste 206, West Covina, CA 91790-3962 | 2019-07-16 |
| 1063078293 | Regenerative Health and Wellness Institute | Clinic/Center | 4207 Del Rey Ave, Marina Del Rey, CA 90292-5605 | 2019-05-14 |
| 1740843374 | Green Creek Acupuncture,inc | Clinic/Center | 20735 Stevens Creek Blvd Ste D, Cupertino, CA 95014-2104 | 2019-04-18 |
| 1013478130 | Advanced Pain Medical Group, Inc. | Clinic/Center | 655 W Avenue Q Ste B, Palmdale, CA 93551-3894 | 2019-03-29 |
| 1609350669 | Edgar Celis Md Inc | Clinic/Center | 1050 Northgate Dr Ste 460, San Rafael, CA 94903-2542 | 2018-09-17 |
| 1356848915 | Ensele Enterprises Consulting Inc | Clinic/Center | 5030 Parkway Calabasas, Calabasas, CA 91302-1422 | 2018-04-10 |
| 1730691973 | Ageless Acupuncture Health Center | Clinic/Center | 46923 Warm Springs Blvd Ste 206, Fremont, CA 94539-7977 | 2017-10-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.