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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JACOB REVILLA
NPI 1255252375
Emergency Medical Technician, Basic in San Jose, CA

Active since July 23, 2026
245 BIEBER DR, SAN JOSE, CA 95123(408) 440-6480 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Revilla NPPES

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

JACOB REVILLA (NPI 1255252375) is an individual emergency medical technician, basic provider in San Jose, California, licensed in California (E170956) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1255252375
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameJACOB REVILLA
Location Address245 BIEBER DRSan Jose, CA 95123-3613
Mailing Address245 Bieber DrSan Jose, CA 95123-3613
Phone(408) 440-6480
Sole ProprietorYes
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1255252375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in CA · E170956
Definition

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

245 BIEBER DR, San Jose, CA 95123
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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

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 Jacob Revilla's NPI number?

The NPI number for Jacob Revilla is 1255252375. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Jacob Revilla located?

Jacob Revilla practices at 245 Bieber Dr, San Jose, CA 95123. The listed phone number is (408) 440-6480.

What is Jacob Revilla's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Jacob Revilla was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.