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: July 26, 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
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

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

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.

Physical Medicine & Rehabilitation (Pain Medicine)
3609 MISSION AVE STE D
CARMICHAEL, CA 95608
Physical Medicine & Rehabilitation (Pain Medicine)
3609 MISSION AVE STE D
CARMICHAEL, CA 95608

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.

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 with the weekly NPPES data releases published by CMS.