Organization Active NPI

Reviva Wound Care Specialists

  • Family Medicine Physician
  • Placentia, CA
National Provider Identifier
1275325474
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REVIVA WOUND CARE SPECIALISTS
Practice address
701 W Kimberly Ave Ste 270
Placentia, CA 92870-6342
Phone
(657) 444-1233
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Sieghart Ponhold, MDNPI 1891883955
Title
Ceo
Phone
(657) 444-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

701 W Kimberly Ave Ste 270
Placentia, CA 92870-6342

Mailing address

701 W Kimberly Ave Ste 270
Placentia, CA 92870-6342
Phone (657) 444-1233

National Provider Directory

National Provider Directory

Locations

701 W Kimberly Ave
Ste 200
Placentia, CA 92870
Phone (657) 444-1233

701 W Kimberly Ave
Ste 270
Placentia, CA 92870
Phone (657) 444-1233

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1275325474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W KIMBERLY AVE STE 270",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706342",
            "telephone_number": "657-444-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W KIMBERLY AVE STE 270",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706342",
            "telephone_number": "657-444-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVA WOUND CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "PONHOLD",
        "authorized_official_first_name": "SIEGHART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-444-1233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.