{"npi":"1285102525","type":"NPI-2","status":"active","name":{"display":"Revive Anesthesia INC","other":[],"organization_name":"REVIVE ANESTHESIA INC","authorised_official":"Mano Shanaa"},"specialty":{"primary_taxonomy":"207LP2900X","primary_taxonomy_description":"Anesthesiology, Pain Medicine","slug":"anesthesiology-pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"20315 VENTURA BLVD STE 315A","city":"WOODLAND HILLS","state":"CA","postal_code":"913642449","country_code":"US","phone":"8188546427","fax":"8188546428"},{"purpose":"MAILING","street_1":"20315 VENTURA BLVD STE 315A","city":"WOODLAND HILLS","state":"CA","postal_code":"913642449","country_code":"US","phone":"8188546427","fax":"8188546428"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190206003110","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"6305184953"}]},"enumeration_date":"2018-11-05","last_updated":"2025-03-31","_meta":{"source":"NPPES","snapshot_date":"2025-03-31","doc_url":"https://findmynpi.com/api"}}