Revive Medical Supplies
NPI 1467073098 · Durable Medical Equipment & Medical Supplies · Los Angeles, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Medical Supplies is a Durable Medical Equipment & Medical Supplies organization in Los Angeles, CA (NPI 1467073098).
Provider details
- NPI number
- 1467073098
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Cory Jacobsen, Ceo(949) 390-9105
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2020-05-05
- Last updated
- 2023-01-04
- Certified
- 2023-01-03
Frequently asked questions
- What is Revive Medical Supplies's NPI number?
- Revive Medical Supplies's National Provider Identifier (NPI) is 1467073098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medical Supplies?
- Revive Medical Supplies is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Revive Medical Supplies located?
- Revive Medical Supplies's practice location on file with NPPES is 1617 S Burlington Ave, Los Angeles, CA 90006-2567.
- What is Revive Medical Supplies's phone number?
- The practice phone number listed in the NPPES registry for Revive Medical Supplies is (949) 390-9105.
- Does Revive Medical Supplies accept Medicare?
- Revive Medical Supplies 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 Medical Supplies?
- The authorized official listed on Revive Medical Supplies's NPPES record is Cory Jacobsen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medical Supplies's NPI active?
- Yes — Revive Medical Supplies's NPI (1467073098) is active in the NPPES registry as of the last update on 2023-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.