PACIFIC PAIN & WELLNESS GROUP
NPI 1083087613
Non-Pharmacy Dispensing Site in Torrance, CA
NPI Status: Active since November 04, 2015
Contact Information
23150 CRENSHAW BLVD STE 100
TORRANCE, CA
ZIP 90505
Phone: (310) 437-7399
Fax: (888) 431-8819
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- CLIA Number: 05D2072919
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-06-2028
About PACIFIC PAIN & WELLNESS GROUP
This page provides the complete NPI Profile along with additional information for Pacific Pain & Wellness Group, a provider established in Torrance, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1083087613 assigned on November 2015. The practitioner's primary taxonomy code is 332900000X with license number A109016 (). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Pacific Pain & Wellness Group. The authorized official of this NPI record is Kartik Ananth (Owner)
- NPI
- 1083087613
- Provider Legal Name
- REVIVEX HEALTHCARE INC
- Other Organization Name
- PACIFIC PAIN & WELLNESS GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 23150 CRENSHAW BLVD STE 100 TORRANCE, CA 90505
- Location Phone
- (310) 437-7399
- Location Fax
- (888) 431-8819
- Mailing Address
- 23150 CRENSHAW BLVD STE 100 TORRANCE, CA 90505
- Mailing Phone
- (104) 377-3993
- Mailing Fax
- (888) 431-8819
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-04-2015
- Last Update Date
- 03-22-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- A109016
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $10,600 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,500 - HMO
- Sanford Individual TRUE $7,200 HSA Qualified - HMO
- Sanford Individual TRUE Standardized $2,000 - HMO
- Sanford Individual TRUE Standardized $6,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2155100 | OTHER (01) | PK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2072919
- Facility Type
- Physician Office
- Certificate Effective Date
- February 07, 2026
- Certificate Expiration Date
- February 06, 2028
- Laboratory Director
- KARTIK ANANTH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Pain & Wellness Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PACIFIC PAIN & WELLNESS GROUP
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083087613, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
TORRANCE, CA 90505
TORRANCE, CA 90505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083087613, enumerated as an "organization" on November 04, 2015.
The provider is located at 23150 CRENSHAW BLVD STE 100 TORRANCE, CA 90505 and the phone number is (310) 437-7399.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
