{
  "npi": "1316404262",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "KAYVAN",
    "authorized_official_last_name": "HADDADAN",
    "authorized_official_middle_name": "D",
    "authorized_official_telephone_number": "9169537571",
    "authorized_official_title_or_position": "President & Chairman",
    "certification_date": "2021-02-22",
    "enumeration_date": "2019-02-27",
    "last_updated": "2021-02-22",
    "organization_name": "ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1921 SYCAMORE LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DAVIS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "916-771-8515",
      "postal_code": "956160844",
      "state": "CA",
      "telephone_number": "916-953-7571"
    },
    {
      "address_1": "729 SUNRISE AVE STE 611",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ROSEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "916-771-8515",
      "postal_code": "956614548",
      "state": "CA",
      "telephone_number": "916-953-7571"
    }
  ],
  "taxonomies": [
    {
      "code": "2081P2900X",
      "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208VP0014X",
      "desc": "Pain Medicine, Interventional Pain Medicine",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "09",
        "medicare_type": "Physician/Interventional Pain Management"
      }
    ]
  }
}