Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Revival Dme Corp

Durable Medical Equipment & Medical Supplies in San Diego, CA · enumerated 2018 · authorized official Kim Jefferson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609343797

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Revival Dme Corp

Practice address 4025 Camino Del Rio S Ste 300, San Diego, CA, 92108

Phone (619) 542-7738

Enumeration date Oct 27, 2018

Last updated in NPPES Oct 27, 2018

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Kim Jefferson

Title President

Phone (951) 490-3751

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-10-27. Verify at npiregistry.cms.hhs.gov.

Where is Revival Dme Corp located?

The practice location on file with NPPES is in San Diego, CA.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-27.