SOUTHERN CALIFORNIA PAIN CONSULTANTS INC
NPI 1013268069
Pain Medicine - Interventional Pain Medicine in Torrance, CA
About Southern California Pain Consultants Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN CALIFORNIA PAIN CONSULTANTS INC (NPI 1013268069) is a healthcare organization registered as an interventional pain medicine in Torrance, California and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Kenneth Sterling Bradley, M.d., Ceo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern California Pain Consultants Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern California Pain Consultants Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 05D2051868
Southern California Pain Consultants Inc · Torrance, CAFrequently 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 Southern California Pain Consultants Inc's NPI number?
The NPI number for Southern California Pain Consultants Inc is 1013268069. It was assigned to this organization in the NPPES registry on September 28, 2012.
Where is Southern California Pain Consultants Inc located?
Southern California Pain Consultants Inc is located at 4201 Torrance Blvd Suite 590, Torrance, CA 90503. The listed phone number is (310) 540-9888.
What is Southern California Pain Consultants Inc's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Southern California Pain Consultants Inc enrolled in Medicare?
Yes. Southern California Pain Consultants Inc is registered in the Medicare PECOS enrollment system.
When is Southern California Pain Consultants Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern California Pain Consultants Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern California Pain Consultants Inc, in Anesthesiology, Pain Management and Physical Medicine and Rehabilitation. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern California Pain Consultants Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2051868) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern California Pain Consultants Inc was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southern California Pain Consultants Inc · NPI 1013268069
Interventional Pain Medicine organization in Torrance, California. Organization record, active in the CMS NPPES registry since September 28, 2012.
## Identity
- **NPI:** 1013268069 (Entity type: Organization)
- **Enumerated:** September 28, 2012
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Kenneth Bradley, M.d., CEO, PRESIDENT
## Practice location
- **Address:** 4201 TORRANCE BLVD, SUITE 590, Torrance, CA 90503-4536
- **Phone:** (310) 540-9888 · **Fax:** (310) 540-0444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Pain Management (1), Physical Medicine and Rehabilitation (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013268069) · Data from the CMS NPPES public registry.