1. Home
  2. Directory
  3. Arizona
  4. Goodyear
  5. Nurse Practitioner
  6. NPI Profile

REVIVE MEDICAL CARE
NPI 1710668496
Nurse Practitioner in Goodyear, AZ

Active since July 26, 2023CLIA 03D2308926 · Waiver
239 N LITCHFIELD RD, GOODYEAR, AZ 85338(480) 549-8865(520) 391-2936 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Jul 27, 2023 (2 updates tracked since 2023).

About Revive Medical Care NPPES

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

REVIVE MEDICAL CARE (NPI 1710668496) is a healthcare organization registered as a nurse practitioner in Goodyear, Arizona and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 5, 2026 and lists Jesus Ryan Arvizo, Owner, as its authorized official.

NPPES Registry Identity

NPI1710668496
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameREVIVE MEDICAL CARE
Location Address239 N LITCHFIELD RDGoodyear, AZ 85338-1249
Mailing Address12317 W Larkspur RdEl Mirage, AZ 85335-5286
Phone(480) 549-8865
Fax(520) 391-2936
Organization SubpartNo
Authorized OfficialJesus Ryan ArvizoOwner · (480) 549-8865
Enumeration DateJuly 26, 2023
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1710668496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
239 N LITCHFIELD RD, Goodyear, AZ 85338
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2308926

Revive Medical Care · Goodyear, AZ
Active · expires Aug 5, 2026
CLIA Number03D2308926
Laboratory TypePractitioner Other
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorJesus R. Arvizo Jr
Laboratory Phone(480) 549-8865
Laboratory LocationRevive Medical Care239 N Litchfield Rd, Goodyear, AZ 85338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JESUS RYAN ARVIZO JR. FNP-C
Nurse Practitioner (Family)
239 N LITCHFIELD RD
GOODYEAR, AZ 85338
Maricopa County (480) 549-8865

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 Care's NPI number?

The NPI number for Revive Medical Care is 1710668496. It was assigned to this organization in the NPPES registry on July 26, 2023.

Where is Revive Medical Care located?

Revive Medical Care is located at 239 N Litchfield Rd, Goodyear, AZ 85338. The listed phone number is (480) 549-8865.

What is Revive Medical Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Revive Medical Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2308926) is associated with this NPI, valid through August 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revive Medical Care was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.