Revive Medical of San Diego
NPI 1114484573 · General Practice Physician · San Diego, CA
Revive Medical of San Diego is a General Practice Physician organization in San Diego, CA (NPI 1114484573).
Provider details
- NPI number
- 1114484573
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Brown, Owner/Provider(951) 440-1652
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
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
- 2019-02-21
- Last updated
- 2019-02-21
Frequently asked questions
- What is Revive Medical of San Diego's NPI number?
- Revive Medical of San Diego's National Provider Identifier (NPI) is 1114484573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medical of San Diego?
- Revive Medical of San Diego is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Medical of San Diego located?
- Revive Medical of San Diego's practice location on file with NPPES is 7220 Trade St Ste 209, San Diego, CA 92121-2326.
- What is Revive Medical of San Diego's phone number?
- The practice phone number listed in the NPPES registry for Revive Medical of San Diego is (858) 800-1006.
- Who is the authorized official for Revive Medical of San Diego?
- The authorized official listed on Revive Medical of San Diego's NPPES record is Kevin Brown, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medical of San Diego's NPI active?
- Yes — Revive Medical of San Diego's NPI (1114484573) is active in the NPPES registry as of the last update on 2019-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.