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

Active since August 17, 2012
16445 BERNARDO CENTER DR, SAN DIEGO, CA 92128(858) 429-0099(858) 676-1172 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2020, Jun 18, 2020 (2 updates tracked since 2020).

About Revivify Restorative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVIFY RESTORATIVE MEDICINE (NPI 1003164385) is a healthcare organization registered as a sports medicine in San Diego, California and active in the NPI registry since August 2012. The organization lists Stephen M Daquino, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003164385
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameSTEPHEN M. DAQUINO, DO; INC
Location Address16445 BERNARDO CENTER DRSan Diego, CA 92128-2523
Mailing Address16445 Bernardo Center DrSan Diego, CA 92128-2523 · (858) 429-0099 · Fax (866) 266-8027
Phone(858) 429-0099
Fax(858) 676-1172
Organization SubpartNo
Authorized OfficialStephen M DaquinoMedical Director · (858) 429-0099
Enumeration DateAugust 17, 2012
Last NPPES UpdateJuly 29, 20202 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
✔ NPI 1003164385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · 20A8442
Definition
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.
16445 BERNARDO CENTER DR, San Diego, CA 92128
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Other Names 2

Doing Business AsRevivify Restorative Medicine
Doing Business AsStrive Sports & Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN DIEGO SPINE AND WELLNESS CENTER
Chiropractor
16445 BERNARDO CENTER DR
SAN DIEGO, CA 92128
San Diego County (858) 676-1166
DR. STEPHEN M DAQUINO DO
Family Medicine (Sports Medicine)
16445 BERNARDO CENTER DR
SAN DIEGO, CA 92128
San Diego County (858) 429-0099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen M. Daquino, Do; Inc's NPI number?

The NPI number for Stephen M. Daquino, Do; Inc is 1003164385. It was assigned to this organization in the NPPES registry on August 17, 2012. The provider is doing business as Revivify Restorative Medicine and Strive Sports & Family Medicine.

Where is Stephen M. Daquino, Do; Inc located?

Stephen M. Daquino, Do; Inc is located at 16445 Bernardo Center Dr, San Diego, CA 92128. The listed phone number is (858) 429-0099.

What is Stephen M. Daquino, Do; Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Stephen M. Daquino, Do; Inc was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.