Revive Injection Clinic
NPI 1104784297 · Medical Specialty Clinic/Center · Valencia, CA
Revive Injection Clinic is a Medical Specialty Clinic/Center organization in Valencia, CA (NPI 1104784297).
Provider details
- NPI number
- 1104784297
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jenna Goodwin, Co-Owner(818) 536-8165
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Revive Injection Clinic's NPI number?
- Revive Injection Clinic's National Provider Identifier (NPI) is 1104784297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Injection Clinic?
- Revive Injection Clinic is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Injection Clinic located?
- Revive Injection Clinic's practice location on file with NPPES is 27833 Avenue Hopkins Ste 6, Valencia, CA 91355-4562.
- What is Revive Injection Clinic's phone number?
- The practice phone number listed in the NPPES registry for Revive Injection Clinic is (661) 407-8507.
- Who is the authorized official for Revive Injection Clinic?
- The authorized official listed on Revive Injection Clinic's NPPES record is Jenna Goodwin, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Injection Clinic's NPI active?
- Yes — Revive Injection Clinic's NPI (1104784297) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.