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

Jacob Revilla

Individual provider Basic Emergency Medical Technician · NPI 1255252375

Jacob Revilla is a Basic Emergency Medical Technician in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
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Practice location Address checks out

245 Bieber Dr
San Jose, CA 95123-3613
Phone: (408) 440-6480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X · Licence E170956 (CA)

Record details

NPI number1255252375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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