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PACIFIC PAIN & WELLNESS GROUP
NPI 1083087613
Non-Pharmacy Dispensing Site in Torrance, CA

Active since November 04, 2015CLIA 05D2072919 · Waiver
23150 CRENSHAW BLVD STE 100, TORRANCE, CA 90505(310) 437-7399(888) 431-8819 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2019, Nov 9, 2015 (2 updates tracked since 2015).

About Pacific Pain & Wellness Group NPPES

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

PACIFIC PAIN & WELLNESS GROUP (NPI 1083087613) is a healthcare organization registered as a non-pharmacy dispensing site in Torrance, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Kartik Ananth, Owner, as its authorized official.

NPPES Registry Identity

NPI1083087613
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameREVIVEX HEALTHCARE INC
Location Address23150 CRENSHAW BLVD STE 100Torrance, CA 90505-3025
Mailing Address23150 Crenshaw Blvd Ste 100Torrance, CA 90505-3025 · (104) 377-3993 · Fax (210) 437-7398
Phone(310) 437-7399
Fax(888) 431-8819
Organization SubpartNo
Authorized OfficialKartik AnanthOwner · (310) 437-7399
Enumeration DateNovember 4, 2015
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1083087613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed · A109016
Definition

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.)

23150 CRENSHAW BLVD STE 100, Torrance, CA 90505
Open in Google Maps ↗

Other Names 1

Doing Business AsPacific Pain & Wellness Group

Other Identifiers 1

Other2155100Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 05D2072919

Pacific Pain & Wellness Group · Torrance, CA
Active · expires Feb 6, 2028
CLIA Number05D2072919
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorKartik Ananth
Laboratory Phone(310) 437-7399
Laboratory LocationPacific Pain & Wellness Group23150 Crenshaw Blvd Ste 100, Torrance, CA 90505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GELAREH SOLOMON PH.D
Psychologist (Clinical)
23150 CRENSHAW BLVD STE 100
TORRANCE, CA 90505
Los Angeles County (310) 437-7399
JOSEFINA REYES
Nurse Practitioner (Psychiatric/Mental Health)
23150 CRENSHAW BLVD STE 100
TORRANCE, CA 90505
Los Angeles County (310) 437-7399
DR. KARTIK ANANTH MD
Psychiatry & Neurology (Pain Medicine)
23150 CRENSHAW BLVD STE 100
TORRANCE, CA 90505
Los Angeles County (310) 437-7399

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 Revivex Healthcare Inc's NPI number?

The NPI number for Revivex Healthcare Inc is 1083087613. It was assigned to this organization in the NPPES registry on November 4, 2015. The provider is doing business as Pacific Pain & Wellness Group.

Where is Revivex Healthcare Inc located?

Revivex Healthcare Inc is located at 23150 Crenshaw Blvd Ste 100, Torrance, CA 90505. The listed phone number is (310) 437-7399.

What is Revivex Healthcare Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Revivex Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2072919) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Revivex Healthcare Inc accept?

Health plans from Sanford Health Plan list Revivex Healthcare Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revivex Healthcare Inc was last updated on March 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.