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LIBRA PAIN CARE
NPI 1477952117
Pain Medicine - Interventional Pain Medicine in West Covina, CA

Active since August 19, 2014
1433 W MERCED AVE STE 103, WEST COVINA, CA 91790(626) 506-2648(626) 898-9250 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Jul 26, 2018 (2 updates tracked since 2018).

About Libra Pain Care NPPES

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

LIBRA PAIN CARE (NPI 1477952117) is a healthcare organization registered as an interventional pain medicine in West Covina, California and active in the NPI registry since August 2014. The organization lists Sam Ahdab, President, as its authorized official.

NPPES Registry Identity

NPI1477952117
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameLIBRA PAIN CARE
Location Address1433 W MERCED AVE STE 103West Covina, CA 91790-3402
Mailing Address1433 W Merced Ave Ste 103West Covina, CA 91790-3402 · (626) 506-2648 · Fax (626) 898-9250
Phone(626) 506-2648
Fax(626) 898-9250
Organization SubpartNo
Authorized OfficialSam AhdabPresident · (323) 217-2856
Enumeration DateAugust 19, 2014
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1477952117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in CA · A126658
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedInternal MedicineTaxonomy 207R00000X · License A126658 (CA)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License A126658 (CA)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License A126658 (CA)
1433 W MERCED AVE STE 103, West Covina, CA 91790
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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)

Libra Pain Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Libra Pain Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sam Ahdab, M.D.
Pain Management
NPI 1992941397
1433 W MERCED AVE STE 103
West Covina, CA 91790
(626) 506-2648
✔ PECOS✔ Accepts MedicareSame address

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 Libra Pain Care's NPI number?

The NPI number for Libra Pain Care is 1477952117. It was assigned to this organization in the NPPES registry on August 19, 2014.

Where is Libra Pain Care located?

Libra Pain Care is located at 1433 W Merced Ave Ste 103, West Covina, CA 91790. The listed phone number is (626) 506-2648.

What is Libra Pain Care's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Libra Pain Care enrolled in Medicare?

Yes. Libra Pain Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Libra Pain Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Libra Pain Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Libra Pain Care was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.