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REVIVAL DME CORP
NPI 1609343797
Durable Medical Equipment & Medical Supplies in San Diego, CA

Active since October 27, 2018
4025 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108(619) 542-7738 Get Directions Write a Review

NPPES record last updated: October 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revival Dme Corp NPPES

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

REVIVAL DME CORP (NPI 1609343797) is a healthcare organization registered as a durable medical equipment & medical supplies in San Diego, California and active in the NPI registry since October 2018. The organization lists Kim Gowdy Jefferson, President, as its authorized official.

NPPES Registry Identity

NPI1609343797
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameREVIVAL DME CORP
Location Address4025 CAMINO DEL RIO S STE 300San Diego, CA 92108-4108
Mailing Address4025 Camino Del Rio S Ste 300San Diego, CA 92108-4108 · (619) 542-7738
Phone(619) 542-7738
Organization SubpartNo
Authorized OfficialKim Gowdy JeffersonPresident · (951) 490-3751
Enumeration DateOctober 27, 2018
✔ NPI 1609343797 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.
4025 CAMINO DEL RIO S STE 300, San Diego, CA 92108
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Other Providers at the Same Location NPPES 13

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

HEALING MEADOWS MARRIAGE & FAMILY COUNSELING SERVICES INC
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (833) 208-3999
DANNY A MEADOWS-PARTIDA PH.D., LMFT
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 818-9449
MEADOWS OF LOVE FAMILY COUNSELING SERVICES
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 818-9449
SAN DIEGO CENTER OF INDIVIDUAL AND FAMILY WELL-BEING INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 542-7745
DOMINIQUE SANTOS
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 542-7720
DR. BRIAN BUZZELLA PH.D.
Psychologist (Clinical)
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 542-7745
SANTA ROSA CLINIC
Clinic/Center (Health Service)
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 988-6512
CARL HENRY GREGORY JR.
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 458-3944

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 Dme Corp's NPI number?

The NPI number for Revival Dme Corp is 1609343797. It was assigned to this organization in the NPPES registry on October 27, 2018.

Where is Revival Dme Corp located?

Revival Dme Corp is located at 4025 Camino Del Rio S Ste 300, San Diego, CA 92108. The listed phone number is (619) 542-7738.

What is Revival Dme Corp'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 Dme Corp was last updated on October 27, 2018. 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.