OrganizationActive
Revive Medspa
NPI 1356130884 · Clinic/Center · San Diego, CA
Revive Medspa is a Clinic/Center organization in San Diego, CA (NPI 1356130884).
Provider details
- NPI number
- 1356130884
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vishal Verma, Owner(619) 293-7233
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1425 Frazee Rd
San Diego, CA 92108-4347
Phone: (619) 293-7233
Street-level locationGet directions
Mailing address
1425 Frazee Rd
San Diego, CA 92108-4347
Registry dates
- Enumerated
- 2025-05-01
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Frequently asked questions
- What is Revive Medspa's NPI number?
- Revive Medspa's National Provider Identifier (NPI) is 1356130884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medspa?
- Revive Medspa is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Medspa located?
- Revive Medspa's practice location on file with NPPES is 1425 Frazee Rd, San Diego, CA 92108-4347.
- What is Revive Medspa's phone number?
- The practice phone number listed in the NPPES registry for Revive Medspa is (619) 293-7233.
- Who is the authorized official for Revive Medspa?
- The authorized official listed on Revive Medspa's NPPES record is Vishal Verma, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medspa's NPI active?
- Yes — Revive Medspa's NPI (1356130884) is active in the NPPES registry as of the last update on 2025-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.