Revitawound Incorporated
NPI 1538982533 · Internal Medicine Physician · Burbank, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitawound Incorporated is a Internal Medicine Physician organization in Burbank, CA (NPI 1538982533).
Provider details
- NPI number
- 1538982533
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Mata, Owner(562) 506-6577
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
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
Mailing address
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is Revitawound Incorporated's NPI number?
- Revitawound Incorporated's National Provider Identifier (NPI) is 1538982533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitawound Incorporated?
- Revitawound Incorporated is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revitawound Incorporated located?
- Revitawound Incorporated's practice location on file with NPPES is 146 N San Fernando Blvd Ste 213, Burbank, CA 91502-1230.
- What is Revitawound Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Revitawound Incorporated is (562) 506-6577.
- Does Revitawound Incorporated accept Medicare?
- Revitawound Incorporated 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 Revitawound Incorporated?
- The authorized official listed on Revitawound Incorporated's NPPES record is Jennifer Mata, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitawound Incorporated's NPI active?
- Yes — Revitawound Incorporated's NPI (1538982533) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.