Revivex Healthcare Inc
NPI 1174800452 · Pain Medicine (Psychiatry & Neurology) Physician · Torrance, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revivex Healthcare Inc is a Pain Medicine (Psychiatry & Neurology) Physician organization in Torrance, CA (NPI 1174800452).
Provider details
- NPI number
- 1174800452
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kartik Ananth, President(310) 437-7399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pacific Pain & Wellness Group
Registry dates
- Enumerated
- 2011-11-15
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Frequently asked questions
- What is Revivex Healthcare Inc's NPI number?
- Revivex Healthcare Inc's National Provider Identifier (NPI) is 1174800452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivex Healthcare Inc?
- Revivex Healthcare Inc is classified in the NPPES registry as Pain Medicine (Psychiatry & Neurology) Physician (Allopathic & Osteopathic Physicians).
- Where is Revivex Healthcare Inc located?
- Revivex Healthcare Inc's practice location on file with NPPES is 23510 Crenshaw Blvd Ste 100, Torrance, CA 90505-5203.
- What is Revivex Healthcare Inc's phone number?
- The practice phone number listed in the NPPES registry for Revivex Healthcare Inc is (310) 437-7399.
- Does Revivex Healthcare Inc accept Medicare?
- Revivex Healthcare Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revivex Healthcare Inc?
- The authorized official listed on Revivex Healthcare Inc's NPPES record is Kartik Ananth, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivex Healthcare Inc's NPI active?
- Yes — Revivex Healthcare Inc's NPI (1174800452) is active in the NPPES registry as of the last update on 2024-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.