Revive Medical Group Ca PC
NPI 1518724624 · Psychiatry Physician · Mount Shasta, CA
Revive Medical Group Ca PC is a Psychiatry Physician organization in Mount Shasta, CA (NPI 1518724624).
Provider details
- NPI number
- 1518724624
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Ziyadeh, Ceo/Manager(203) 430-1321
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
2 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
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Frequently asked questions
- What is Revive Medical Group Ca PC's NPI number?
- Revive Medical Group Ca PC's National Provider Identifier (NPI) is 1518724624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medical Group Ca PC?
- Revive Medical Group Ca PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Medical Group Ca PC located?
- Revive Medical Group Ca PC's practice location on file with NPPES is 914 Pine St, Mount Shasta, CA 96067-2143.
- What is Revive Medical Group Ca PC's phone number?
- The practice phone number listed in the NPPES registry for Revive Medical Group Ca PC is (203) 430-1321.
- Who is the authorized official for Revive Medical Group Ca PC?
- The authorized official listed on Revive Medical Group Ca PC's NPPES record is Omar Ziyadeh, Ceo/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medical Group Ca PC's NPI active?
- Yes — Revive Medical Group Ca PC's NPI (1518724624) is active in the NPPES registry as of the last update on 2024-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.