REVIVE MEDICAL SUPPLIES
NPI 1467073098
Durable Medical Equipment & Medical Supplies in Los Angeles, CA

Q: What is Revive Medical Supplies's NPI number?

The NPI number for Revive Medical Supplies is 1467073098. It was assigned to this organization in the NPPES registry on May 5, 2020.

Q: What is Revive Medical Supplies's specialty?

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

Active since May 05, 2020

1617 S BURLINGTON AVE, LOS ANGELES, CA 90006(949) 390-9105 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2023, Jan 28, 2021, May 5, 2020 (3 updates tracked since 2020).

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About Revive Medical Supplies NPPES

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

REVIVE MEDICAL SUPPLIES (NPI 1467073098) is a healthcare organization registered as a durable medical equipment & medical supplies in Los Angeles, California and active in the NPI registry since May 2020. The organization lists Cory Jacobsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467073098

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameREVIVE MEDICAL SUPPLIES

Location Address1617 S BURLINGTON AVELos Angeles, CA 90006-2567

Mailing AddressPo Box 811457Los Angeles, CA 90081-0008 · (949) 390-9105

Phone(949) 390-9105

Organization SubpartNo

Authorized OfficialCory JacobsenCeo · (949) 390-9105

Enumeration DateMay 5, 2020

Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1467073098 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.

1617 S BURLINGTON AVE, Los Angeles, CA 90006

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Medical Equipment Supplier Medicare DMEPOS 30

Medicare supplier enrollment and the product categories Revive Medical Supplies, LLC carries, from the Medicare DMEPOS supplier directory.

Revive Medical Supplies, LLC

DMEPOS supplier · Los Angeles, CAOperated by Revive Medical Supplies

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Does not accept Medicare assignment

Revive Medical Supplies, LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20408015

Medicare Participant SinceJanuary 26, 2021

Supplier Location1617 S Burlington AveLos Angeles, CA 90006

Phone(213) 677-2526

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Continuous Passive Motion (CPM) Devices

Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines

Contracture Treatment Devices: Dynamic Splint

Dynamic splinting devices for the knee, elbow, wrist, finger, or toe

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Infrared Heating Pads Systems and/or Supplies

Infrared Heating Pad Systems, Replacement Pads

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

Pneumatic Compression Devices and/or Supplies

Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Ultraviolet Light Devices and/or Supplies

Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchairs (Complex Rehabilitative Manual)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehab Manual Rel Accessories)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehabilitative Power)

Complex rehabilitative power wheelchairs

Wheelchairs (Complex Rehab Power Rel Accessories)

Complex rehabilitative power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Supplies's NPI number?

The NPI number for Revive Medical Supplies is 1467073098. It was assigned to this organization in the NPPES registry on May 5, 2020.

Where is Revive Medical Supplies located?

Revive Medical Supplies is located at 1617 S Burlington Ave, Los Angeles, CA 90006. The listed phone number is (949) 390-9105.

What is Revive Medical Supplies's specialty?

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

Does Revive Medical Supplies accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Revive Medical Supplies, LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Revive Medical Supplies was last updated on January 4, 2023. 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.