Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Pain & Spine Center Inc

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1063991685

Revive Pain & Spine Center Inc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Carmichael, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3609 Mission Ave Ste D
Carmichael, CA 95608-2955
Phone: (530) 650-8333
Fax: (530) 650-8388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 W Court St Ste D, Woodland, CA 95695-2986 — (530) 650-8333

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 20A13486 (CA)

Record details

NPI number1063991685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akbar Khan — President Of Corporation · (530) 650-8333
NPI enumeratedAugust 14, 2018
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address255 W Court St Ste D, Woodland, CA 95695-2986

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