Active NPI
Revanta Medical Billing LLC
- Clinic/Center
- Rialto, CA
National Provider Identifier
1922916485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- REVANTA MEDICAL BILLING LLC
- Practice address
- 1507 W Wilson St
Rialto, CA 92376-6241 - Phone
- (818) 254-9621
- Fax
- (818) 254-9621
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- No Name Abhishek
- Title
- Owner
- Phone
- (818) 254-9621
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1507 W Wilson St
Rialto, CA 92376-6241
Mailing address
458 Boynton Ave Apt A2
San Jose, CA 95117-1426
Phone (818) 254-9621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1922916485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 BOYNTON AVE APT A2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171426",
"telephone_number": "818-254-9621",
"fax_number": "818-254-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 W WILSON ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766241",
"telephone_number": "818-254-9621",
"fax_number": "818-254-9621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVANTA MEDICAL BILLING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "ABHISHEK",
"authorized_official_first_name": "NO NAME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-254-9621"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.