Revive Pain & Spine Center Inc
NPI 1063991685 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Carmichael, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Pain & Spine Center Inc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Carmichael, CA (NPI 1063991685).
Provider details
- NPI number
- 1063991685
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Akbar Khan, President of Corporation(530) 650-8333
- License
- 20A13486 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 255 W Court St Ste DWoodland, CA 95695-2986Phone: (530) 650-8333Fax: (530) 650-8388
Registry dates
- Enumerated
- 2018-08-14
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Revive Pain & Spine Center Inc's NPI number?
- Revive Pain & Spine Center Inc's National Provider Identifier (NPI) is 1063991685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Pain & Spine Center Inc?
- Revive Pain & Spine Center Inc is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Pain & Spine Center Inc located?
- Revive Pain & Spine Center Inc's practice location on file with NPPES is 3609 Mission Ave Ste D, Carmichael, CA 95608-2955.
- What is Revive Pain & Spine Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Revive Pain & Spine Center Inc is (530) 650-8333.
- Does Revive Pain & Spine Center Inc accept Medicare?
- Revive Pain & Spine Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revive Pain & Spine Center Inc?
- The authorized official listed on Revive Pain & Spine Center Inc's NPPES record is Akbar Khan, President of Corporation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Pain & Spine Center Inc's NPI active?
- Yes — Revive Pain & Spine Center Inc's NPI (1063991685) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.