REVIVE MEDICAL OF SAN DIEGO
NPI 1114484573
General Practice in San Diego, CA

Q: What is Revive Medical Of San Diego's NPI number?

The NPI number for Revive Medical Of San Diego is 1114484573. It was assigned to this organization in the NPPES registry on February 21, 2019.

Q: What is Revive Medical Of San Diego's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 21, 2019

7220 TRADE ST STE 209, SAN DIEGO, CA 92121(858) 800-1006 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revive Medical Of San Diego NPPES

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

REVIVE MEDICAL OF SAN DIEGO (NPI 1114484573) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since February 2019. The organization lists Kevin Brown, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1114484573

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameREVIVE MEDICAL OF SAN DIEGO

Location Address7220 TRADE ST STE 209San Diego, CA 92121-2326

Mailing Address7220 Trade St Ste 209San Diego, CA 92121-2326 · (858) 800-1006

Phone(858) 800-1006

Organization SubpartNo

Authorized OfficialKevin BrownOwner/provider · (951) 440-1652

Enumeration DateFebruary 21, 2019

✔ NPI 1114484573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

7220 TRADE ST STE 209, San Diego, CA 92121

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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

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 Medical Of San Diego's NPI number?

The NPI number for Revive Medical Of San Diego is 1114484573. It was assigned to this organization in the NPPES registry on February 21, 2019.

Where is Revive Medical Of San Diego located?

Revive Medical Of San Diego is located at 7220 Trade St Ste 209, San Diego, CA 92121. The listed phone number is (858) 800-1006.

What is Revive Medical Of San Diego's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Revive Medical Of San Diego was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.