Revive Surgery Center Pasadena LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REVIVE SURGERY CENTER PASADENA LLC

Practice address

333 S Arroyo Pkwy FL 3
Pasadena, CA 91105-2581

Phone

(626) 537-3737

Fax

(626) 537-3738

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By 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

Stevuni Harrison

Title

Billing Administrator

Phone

(909) 710-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1255177242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S ARROYO PKWY FL 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S ARROYO PKWY FL 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052581",
            "telephone_number": "626-537-3737",
            "fax_number": "626-537-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE SURGERY CENTER PASADENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "STEVUNI",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "909-710-2020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Institute of California (Acuity Eye Group)
• Retina Institute of California Medical Group, a California Medical Par (Acuity Eye Group)
• Retina Macula Consultants of California, Inc.
• Margaret Elizabeth Reul, LCSW
• Shashemane Reveles
• Katherine Michelle Revoredo, M.D.
• Daisy Revuelta Soto
• Nevaeh Love Revuelta
• Steven Rex, O.D.
• Cindy Yarelly Reyes Espinoza

• Ambulatory Surgical Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.