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Organization

Revive Pain & Spine Center Inc

NPI Record: ActivePhysical Medicine & Rehabilitation — Pain Medicine
NPI1063991685
Carmichael, California

Provider's NPPES record last updated: October 28, 2024

Overview

Entity Type
Organization
NPI
1063991685
Primary Specialty
Physical Medicine & Rehabilitation — Pain Medicine
Practice Location
Carmichael, California
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 1:56 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physical Medicine & Rehabilitation

    Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

    Taxonomy code 2081P2900X

Provider-Reported License Information

Physical Medicine & Rehabilitation (California)
20A13486
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3609 Mission Ave Ste D

Carmichael, California 95608-2955

Phone: (530) 650-8333

Additional Practice Location

255 W Court St Ste D

Woodland, California 95695-2986

Phone: (530) 650-8333

Fax: (530) 650-8388

Record Information

Enumeration Date
August 14, 2018
Provider's NPPES Record Last Updated
October 28, 2024
Certification Date
October 28, 2024
NPISignal NPPES Dataset
August 2026

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