Revive Anesthesia Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

REVIVE ANESTHESIA INC

Practice address

20315 Ventura Blvd Ste 315a
Woodland Hills, CA 91364-2449

Phone

(818) 854-6427

Fax

(818) 854-6428

NPI assigned

Nov 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mano Shanaa, MDNPI 1003857475

Title

Director

Phone

(818) 854-6427

Specialties & licenses 1

Addresses

Other names 1

• REVIVE ANESTHESIA INC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mano Shanaa, M.D.

  • Anesthesiology Physician
  • Woodland Hills, CA
  • NPI 1003857475
  Medicare reassignment Authorized official
• Parichehr Angela Tabibian, MD

  • Hospitalist Physician
  • Tarzana, CA
  • NPI 1154521730
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1285102525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20315 VENTURA BLVD STE 315A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642449",
            "telephone_number": "818-854-6427",
            "fax_number": "818-854-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20315 VENTURA BLVD STE 315A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642449",
            "telephone_number": "818-854-6427",
            "fax_number": "818-854-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "SHANAA",
        "authorized_official_first_name": "MANO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-854-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVE ANESTHESIA INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Revivify Home Health Care
• Sivan Revivo
• Sergio Revuelta Gonzalez
• Alicia V Reyes, PTA
• Angelica Reyes

• Pain Medicine (Anesthesiology) Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.