Revival Dme Corp
NPI 1609343797 · Durable Medical Equipment & Medical Supplies · San Diego, CA
Revival Dme Corp is a Durable Medical Equipment & Medical Supplies organization in San Diego, CA (NPI 1609343797).
Provider details
- NPI number
- 1609343797
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Kim Jefferson, President(951) 490-3751
Specialties & taxonomies
Suppliers
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
- 2018-10-27
- Last updated
- 2018-10-27
Frequently asked questions
- What is Revival Dme Corp's NPI number?
- Revival Dme Corp's National Provider Identifier (NPI) is 1609343797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Dme Corp?
- Revival Dme Corp is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Revival Dme Corp located?
- Revival Dme Corp's practice location on file with NPPES is 4025 Camino Del Rio S Ste 300, San Diego, CA 92108-4108.
- What is Revival Dme Corp's phone number?
- The practice phone number listed in the NPPES registry for Revival Dme Corp is (619) 542-7738.
- Who is the authorized official for Revival Dme Corp?
- The authorized official listed on Revival Dme Corp's NPPES record is Kim Jefferson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Dme Corp's NPI active?
- Yes — Revival Dme Corp's NPI (1609343797) is active in the NPPES registry as of the last update on 2018-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.