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REVIVE PAIN & SPINE CENTER INC
NPI 1063991685
Physical Medicine & Rehabilitation - Pain Medicine in Carmichael, CA

Active since August 14, 2018
3609 MISSION AVE STE D, CARMICHAEL, CA 95608(530) 650-8333(530) 650-8388 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2024, Feb 28, 2023, Aug 28, 2018 and 1 more (4 updates tracked since 2018).

About Revive Pain & Spine Center Inc NPPES

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

REVIVE PAIN & SPINE CENTER INC (NPI 1063991685) is a healthcare organization registered as a pain medicine in Carmichael, California and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Woodland and lists Akbar Khan, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1063991685
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameREVIVE PAIN & SPINE CENTER INC
Location Address3609 MISSION AVE STE DCarmichael, CA 95608-2955
Mailing Address255 W Court St Ste DWoodland, CA 95695-2986 · (530) 650-8333 · Fax (530) 650-8388
Phone(530) 650-8333
Fax(530) 650-8388
Organization SubpartNo
Authorized OfficialAkbar KhanPresident Of Corporation · (530) 650-8333
Enumeration DateAugust 14, 2018
Last NPPES UpdateOctober 28, 20244 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1063991685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · 20A13486
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
3609 MISSION AVE STE D, Carmichael, CA 95608
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Secondary Practice Location 1

Location 1255 W Court St Ste DWoodland, CA 95695-2986 · Phone (530) 650-8333 · Fax (530) 650-8388

Other Identifiers 2

Other1407843162OH · Individual Npi
Other1528383833CA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Pain & Spine Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Revive Pain & Spine Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Akbar Khan, D.O.
Physical Medicine and Rehabilitation
NPI 1528383833
3609 MISSION AVE STE D
Carmichael, CA 95608
(530) 650-8333
✔ PECOS✔ Accepts MedicareSame address
Damandeep Badwal, MD
Family Practice
NPI 1760838981
10089 FOLSOM BLVD STE A
Rancho Cordova, CA 95670
(916) 366-6531
✔ PECOS✔ Accepts Medicare3.9 mi
Andrew Linn, M.D.
Interventional Pain Management
NPI 1093908832
3000 Q STREET
Sacramento, CA 95816
(916) 733-5844
✔ PECOS✔ Accepts Medicare7.3 mi
Erica Feder, NP
Nurse Practitioner
NPI 1144489998
1500 21ST ST
Sacramento, CA 95811
(916) 443-3299
✔ PECOS8.0 mi
Erika Gonzalez, NP
Nurse Practitioner
NPI 1467103689
1727 PEART CT
Woodland, CA 95776
(530) 383-9230
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Revive Pain & Spine Center Inc's NPI number?

The NPI number for Revive Pain & Spine Center Inc is 1063991685. It was assigned to this organization in the NPPES registry on August 14, 2018.

Where is Revive Pain & Spine Center Inc located?

Revive Pain & Spine Center Inc is located at 3609 Mission Ave Ste D, Carmichael, CA 95608. The listed phone number is (530) 650-8333.

What is Revive Pain & Spine Center Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Revive Pain & Spine Center Inc enrolled in Medicare?

Yes. Revive Pain & Spine Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Pain & Spine Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Revive Pain & Spine Center Inc, in Family Practice, Interventional Pain Management, Nurse Practitioner and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revive Pain & Spine Center Inc was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.