REVIVIFY RESTORATIVE MEDICINE
NPI 1003164385
Family Medicine - Sports Medicine in San Diego, CA

NPI Status: Active since August 17, 2012

Contact Information

16445 BERNARDO CENTER DR
SAN DIEGO, CA
ZIP 92128
Phone: (858) 429-0099
Fax: (858) 676-1172

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  • Organization
  • Family Medicine
  • Sports Medicine

About REVIVIFY RESTORATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for Revivify Restorative Medicine, a primary care provider established in San Diego, California operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1003164385 assigned on August 2012. The practitioner's primary taxonomy code is 207QS0010X with license number 20A8442 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Revivify Restorative Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Revivify Restorative Medicine. The authorized official of this NPI record is Stephen M Daquino Do (Medical Director)

NPI
1003164385
Provider Legal Name
STEPHEN M. DAQUINO, DO; INC
Other Organization Name
REVIVIFY RESTORATIVE MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16445 BERNARDO CENTER DR SAN DIEGO, CA 92128
Location Phone
(858) 429-0099
Location Fax
(858) 676-1172
Mailing Address
16445 BERNARDO CENTER DR SAN DIEGO, CA 92128
Mailing Phone
(858) 429-0099
Mailing Fax
(858) 676-1172
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2012
Last Update Date
07-29-2020
Code Navigator

A primary care provider (PCP) like Revivify Restorative Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
License No.
20A8442
License State
CA
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN M DAQUINO DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(858) 429-0099

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003164385, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 6 + 8 + 3 + 1 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1003164385.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Chiropractor
16445 BERNARDO CENTER DR
SAN DIEGO, CA 92128
Family Medicine (Sports Medicine)
16445 BERNARDO CENTER DR
SAN DIEGO, CA 92128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003164385, enumerated as an "organization" on August 17, 2012.

The provider is located at 16445 BERNARDO CENTER DR SAN DIEGO, CA 92128 and the phone number is (858) 429-0099.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.