Individual provider Active NPI

Kartik Ananth, MD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Torrance, CA
National Provider Identifier
1821279423
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
A109016 Issued in CA
Practice address
23150 Crenshaw Blvd Ste 100
Torrance, CA 90505-3025
Phone
(310) 437-7399
Fax
(310) 437-7398
NPI assigned
Nov 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A109016 CA
Interventional Pain Medicine Physician 208VP0014X A109016 CA
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X A109016 CA Primary

Addresses

Primary practice location

23150 Crenshaw Blvd Ste 100
Torrance, CA 90505-3025

Mailing address

23150 Crenshaw Blvd Ste 100
Torrance, CA 90505-3025
Phone (310) 437-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000795 CA Practitioner - Interventional Pain ManagementPractitioner - PsychiatryPractitioner - Pain Management 0941353213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management, Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revivex Healthcare IncGroup PAC ID 7810163482, 2 clinicians

Practice addresses (Care Compare)

23150 Crenshaw Blvd
Suite 100
Torrance, CA 90505-3025
Phone (310) 437-7399

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109016CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific West Surgery Center, LLC Current Accepting new patients
Revivex Healthcare Inc Psychiatry CurrentSince Apr 23, 2010 Accepting new patients
Revivex Healthcare Inc CurrentSince Mar 24, 2024 Accepting new patients
Southern California Pain Consultants Inc Psychiatry Past Accepting new patients

Locations

21320 Hawthorne Blvd
#301
Torrance, CA 90503

23150 Crenshaw Blvd
Ste 100
Torrance, CA 90505
Phone (310) 381-0024

21350 Hawthorne Blvd
Ste 130
Torrance, CA 90503

23150 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 622-3376

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1821279423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23150 CRENSHAW BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053025",
            "telephone_number": "310-437-7999",
            "fax_number": "210-437-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23150 CRENSHAW BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053025",
            "telephone_number": "310-437-7399",
            "fax_number": "310-437-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANTH",
        "first_name": "KARTIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A109016",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A109016",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A109016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.