Revivacare Mobile

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVIVACARE MOBILE

Practice address

15720 Ventura Blvd Ste 299
Encino, CA 91436-2973

Phone

(818) 301-7973

NPI assigned

Dec 9, 2025

Last updated

Dec 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anousheh Ashouri

Title

Ceo

Phone

(818) 301-7972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1154285724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 299",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 299",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362973",
            "telephone_number": "818-301-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVACARE MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "ASHOURI",
        "authorized_official_first_name": "ANOUSHEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-301-7972"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.