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REVIVAL MEDICAL SUPPLIES, INC.
NPI 1154076404
Durable Medical Equipment & Medical Supplies in Fountain Valley, CA

Active since February 15, 2022
9550 WARNER AVE STE 250-09, FOUNTAIN VALLEY, CA 92708(949) 229-5703 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2022, Aug 12, 2022, Feb 15, 2022 (3 updates tracked since 2022).

About Revival Medical Supplies, Inc. NPPES

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

REVIVAL MEDICAL SUPPLIES, INC. (NPI 1154076404) is a healthcare organization registered as a durable medical equipment & medical supplies in Fountain Valley, California and active in the NPI registry since February 2022. The organization lists Emad Ali, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154076404
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameREVIVAL MEDICAL SUPPLIES, INC.
Location Address9550 WARNER AVE STE 250-09Fountain Valley, CA 92708-2800
Mailing Address9550 Warner Ave Ste 250-09Fountain Valley, CA 92708-2800 · (949) 229-5703
Phone(949) 229-5703
Organization SubpartNo
Authorized OfficialEmad AliCeo · (347) 391-2751
Enumeration DateFebruary 15, 2022
Last NPPES UpdateAugust 19, 20223 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1154076404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
9550 WARNER AVE STE 250-09, Fountain Valley, CA 92708
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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 Revival Medical Supplies, Inc.'s NPI number?

The NPI number for Revival Medical Supplies, Inc. is 1154076404. It was assigned to this organization in the NPPES registry on February 15, 2022.

Where is Revival Medical Supplies, Inc. located?

Revival Medical Supplies, Inc. is located at 9550 Warner Ave Ste 250-09, Fountain Valley, CA 92708. The listed phone number is (949) 229-5703.

What is Revival Medical Supplies, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Revival Medical Supplies, Inc. was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.