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REVIVE MEDSPA
NPI 1356130884
Clinic/Center in San Diego, CA

Active since May 01, 2025
1425 FRAZEE RD, SAN DIEGO, CA 92108(619) 293-7233 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revive Medspa NPPES

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

REVIVE MEDSPA (NPI 1356130884) is a healthcare organization registered as a clinic/center in San Diego, California and active in the NPI registry since May 2025. The organization lists Vishal Verma, Owner, as its authorized official.

NPPES Registry Identity

NPI1356130884
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVIVE MEDSPA
Location Address1425 FRAZEE RDSan Diego, CA 92108-4347
Mailing Address1425 Frazee RdSan Diego, CA 92108-4347 · (619) 293-7233
Phone(619) 293-7233
Organization SubpartNo
Authorized OfficialVishal VermaOwner · (619) 293-7233
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1356130884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1425 FRAZEE RD, San Diego, CA 92108
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AZAR NABATCHIAN ND
Naturopath
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 612-0672
ERIN SHEA FINNERTY NP
Clinic/Center (Medical Specialty)
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 293-7233
HAYLEY LUSTI
Nurse Practitioner (Family)
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 393-3909
MELANIE CARLSON NP
Nurse Practitioner (Family)
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 393-3909
DR. VINITA VERMA DDS
Dentist
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 293-7233
MS. NATASHA CORIELL RUSSELL
Nurse Practitioner (Family)
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 393-3909
SUSAN B BRENNER
Nurse Practitioner (Family)
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 293-7233
DR. THOMAS RUMANN MACSAY ND
Naturopath
1425 FRAZEE RD
SAN DIEGO, CA 92108
San Diego County (619) 597-7744

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 Medspa's NPI number?

The NPI number for Revive Medspa is 1356130884. It was assigned to this organization in the NPPES registry on May 1, 2025.

Where is Revive Medspa located?

Revive Medspa is located at 1425 Frazee Rd, San Diego, CA 92108. The listed phone number is (619) 293-7233.

What is Revive Medspa's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revive Medspa was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.