Organization Active NPI

Innovative Pain Solutions, a Professional Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Beverly Hills, CA
National Provider Identifier
1740170471
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
INNOVATIVE PAIN SOLUTIONS, A PROFESSIONAL NURSING CORPORATION
Practice address
9301 Wilshire Blvd Ste 125
Beverly Hills, CA 90210-6101
Phone
(310) 990-4546
NPI assigned
Jul 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Authorized official

Name
Reve Brander, DNP, CRNA
Title
Ceo
Phone
(631) 339-5015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

9301 Wilshire Blvd Ste 125
Beverly Hills, CA 90210-6101

Mailing address

9301 Wilshire Blvd Ste 125
Beverly Hills, CA 90210-6101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1740170471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 125",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 125",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106101",
            "telephone_number": "310-990-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PAIN SOLUTIONS, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "BRANDER",
        "authorized_official_first_name": "REVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-339-5015",
        "authorized_official_credential": "DNP, CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.