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ADVANCED SURGICAL GROUP, INC.
NPI 1073908604
Clinic/Center - Ambulatory Surgical in Rocklin, CA

Active since March 31, 2015CLIA 05D2065683 · Waiver
2160 SUNSET BLVD, SUITE 502, ROCKLIN, CA 95765(916) 258-7250(916) 787-5401 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2022, Jun 22, 2020, Oct 30, 2017 (3 updates tracked since 2017).

About Advanced Surgical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SURGICAL GROUP, INC. (NPI 1073908604) is a healthcare organization registered as an ambulatory surgical in Rocklin, California and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Kayvan D Haddadan, President & Chariman, as its authorized official.

NPPES Registry Identity

NPI1073908604
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED SURGICAL GROUP, INC.
Location Address2160 SUNSET BLVD, SUITE 502Rocklin, CA 95765-4790
Mailing Address2160 Sunset Blvd Ste 502Rocklin, CA 95765-4790 · (916) 258-7250 · Fax (916) 787-5401
Phone(916) 258-7250
Fax(916) 787-5401
Organization SubpartNo
Authorized OfficialKayvan D HaddadanPresident & Chariman · (415) 786-6192
Enumeration DateMarch 31, 2015
Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1073908604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2160 SUNSET BLVD, Rocklin, CA 95765
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Surgical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Surgical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Maria Christner, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033510516
1600 EUREKA RD
Roseville, CA 95661
(916) 784-4000
✔ Accepts Medicare4.3 mi
Lorraine Hanegan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578631560
2025 MORSE AVE ANESTHESIA DEPARTMENT
Sacramento, CA 95825
(916) 973-7705
✔ Accepts Medicare15 mi
Regina Jowza, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568900587
700 LAWRENCE EXPY
Santa Clara, CA 95051
(408) 851-1000
✔ Accepts Medicare105 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2065683

Advanced Surgical Group · Rocklin, CA
Active · expires Sep 11, 2027
CLIA Number05D2065683
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorKayvan D. Haddadan
Laboratory Phone(888) 543-2243
Laboratory LocationAdvanced Surgical Group2160 Sunset Blvd Ste 502, Rocklin, CA 95765
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
306 services179 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
266 services107 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
129 services75 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
74 services36 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
72 services65 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
52 services28 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Surgical Group, Inc.'s NPI number?

The NPI number for Advanced Surgical Group, Inc. is 1073908604. It was assigned to this organization in the NPPES registry on March 31, 2015.

Where is Advanced Surgical Group, Inc. located?

Advanced Surgical Group, Inc. is located at 2160 Sunset Blvd Suite 502, Rocklin, CA 95765. The listed phone number is (916) 258-7250.

What is Advanced Surgical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Advanced Surgical Group, Inc. enrolled in Medicare?

Yes. Advanced Surgical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Surgical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Advanced Surgical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Surgical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2065683) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Surgical Group, Inc. was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.