Revive Injection Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

REVIVE INJECTION CLINIC

Practice address

27833 Avenue Hopkins Ste 6
Valencia, CA 91355-4562

Phone

(661) 407-8507

NPI assigned

Jan 15, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenna Goodwin, FNP-CNPI 1275491359

Title

Co-Owner

Phone

(818) 536-8165

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Goodwin, FNP-C

  • Family Nurse Practitioner
  • Santa Clarita, CA
  • NPI 1275491359
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1104784297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28207 TANGERINE LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503257",
            "telephone_number": "818-536-8165",
            "fax_number": "818-536-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27833 AVENUE HOPKINS STE 6",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554562",
            "telephone_number": "661-407-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE INJECTION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "818-536-8165",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Renison
• Charlene Renner
• Marisol Renteria
• Donna Marie Resendez, LMFT
• Reuel Asinas, M.D.
• Ranjit Singh Reyatt, B.S.PHARM
• Reyes and Lago Professional Dental Corporation
• Ileana Reyes
• Jacqueline Flores Reyes, M.S., BCBA
• Jeffrey Marin Reyes, DDS

• Medical Specialty Clinic/Center in Valencia, CA
• Providers in Valencia, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.