Richard C Revis, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A60362 Issued in CA

Practice address

966 Cass St
Monterey, CA 93940-4539

Phone

(831) 372-2169

Fax

(831) 372-6323

NPI assigned

Aug 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902914484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590757",
            "telephone_number": "714-748-0332",
            "fax_number": "714-748-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404539",
            "telephone_number": "831-372-2169",
            "fax_number": "831-372-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVIS",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A60362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A603620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Roger Rendon, LCSW
• Lui Renteria
• Wendy Sue Rentfrow, MA
• Restore Orthotics and Prosthetics
• Dalaine Regatalio Resurreccion, AGPCNP-OEH, PHN
• Fatima Reyes Demayo
• Leilani Nicole Reyes-Lacar
• Stephanie G Reyes
• Megan E Reynolds, BCABA
• Sarah Cope Reynolds

• Anesthesiology Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.