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PACIFIC PAIN & WELLNESS GROUP
NPI 1174800452
Psychiatry & Neurology - Pain Medicine in Torrance, CA

Active since November 15, 2011
23510 CRENSHAW BLVD STE 100, TORRANCE, CA 90505(310) 437-7399(310) 437-7398 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2019, Aug 6, 2018 (2 updates tracked since 2018).

About Pacific Pain & Wellness Group NPPES

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

PACIFIC PAIN & WELLNESS GROUP (NPI 1174800452) is a healthcare organization registered as a pain medicine in Torrance, California and active in the NPI registry since November 2011. The organization lists Kartik Ananth, President, as its authorized official.

NPPES Registry Identity

NPI1174800452
Entity TypeOrganization
Primary Taxonomy2084P2900X
Legal Business NameREVIVEX HEALTHCARE INC
Location Address23510 CRENSHAW BLVD STE 100Torrance, CA 90505-5203
Mailing Address23150 Crenshaw Blvd Ste 100Torrance, CA 90505-3025 · (310) 437-7399 · Fax (104) 377-3993
Phone(310) 437-7399
Fax(310) 437-7398
Organization SubpartNo
Authorized OfficialKartik AnanthPresident · (310) 437-7399
Enumeration DateNovember 15, 2011
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1174800452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P2900X
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
23510 CRENSHAW BLVD STE 100, Torrance, CA 90505
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Other Names 1

Doing Business AsPacific Pain & Wellness Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Pain & Wellness Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pacific Pain & Wellness Group, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Gelareh Solomon, PH.D
Clinical Psychologist
NPI 1457582140
23150 CRENSHAW BLVD STE 100
Torrance, CA 90505
(310) 437-7399
✔ PECOS✔ Accepts Medicare0.2 mi
Kartik Ananth, MD
Interventional Pain Management
NPI 1821279423
23150 CRENSHAW BLVD STE 100
Torrance, CA 90505
(310) 437-7399
✔ PECOS✔ Accepts Medicare0.2 mi
Josefina Reyes
Nurse Practitioner
NPI 1376825158
23150 CRENSHAW BLVD STE 100
Torrance, CA 90505
(310) 437-7399
✔ PECOS✔ Accepts Medicare0.2 mi
Steve Im, MD
Anesthesiology
NPI 1114019544
13310 SILVER BERRY CIR
Cerritos, CA 90703
(562) 677-4739
✔ PECOS✔ Accepts Medicare17 mi

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

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 1174800452. It was assigned to this organization in the NPPES registry on November 15, 2011. The provider is doing business as Pacific Pain & Wellness Group.

Where is Revivex Healthcare Inc located?

Revivex Healthcare Inc is located at 23510 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 Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Is Revivex Healthcare Inc enrolled in Medicare?

Yes. Revivex Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revivex Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Revivex Healthcare Inc, in Anesthesiology, Clinical Psychologist, Interventional Pain Management and Nurse Practitioner. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revivex Healthcare Inc was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.