Active NPI
Libra Pain Care
- Interventional Pain Medicine Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A126658
- Legal business name
- LIBRA PAIN CARE
- Practice address
- 1433 W Merced Ave Ste 103
West Covina, CA 91790-3402 - Phone
- (626) 506-2648
- Fax
- (626) 898-9250
- NPI assigned
- Aug 19, 2014
- Last updated
- Feb 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sam Ahdab, M.D.
- Title
- President
- Phone
- (323) 217-2856
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A126658 | CA | |
| Pain Medicine Physician | 208VP0000X | A126658 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A126658 | CA | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A126658 | CA |
Addresses
Primary practice location
1433 W Merced Ave Ste 103
West Covina, CA 91790-3402
Mailing address
1433 W Merced Ave Ste 103
West Covina, CA 91790-3402
Phone (626) 506-2648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1433 W Merced Ave
Ste 103
West Covina, CA 91790
Phone (626) 337-8000
1433 W Merced Ave
Ste 324
West Covina, CA 91790
Phone (626) 960-8877
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Pain Medicine Physician
- West Covina, CA
- NPI 1992941397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1477952117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 W MERCED AVE STE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903402",
"telephone_number": "626-506-2648",
"fax_number": "626-898-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 W MERCED AVE STE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903402",
"telephone_number": "626-506-2648",
"fax_number": "626-898-9250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBRA PAIN CARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-19",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "AHDAB",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-217-2856",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A126658",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A126658",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A126658",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A126658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.