MEDREV NPI 1669037362

NPI Information

  • NPI: 1669037362
  • Provider Name: MEDREV
  • Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
  • Entity Type: Organization
  • Address: 558 CHELSEA WAY
    CORONA, CA
    ZIP 92879
  • Phone: (951) 772-9355

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NPI Details

MEDREV is a program of all inclusive care for the elderly pace provider organization in Corona, CA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. MEDREV NPI is 1669037362. The provider is registered as an organization entity type.

The provider's business location address is:

558 CHELSEA WAY
CORONA, CA
ZIP 92879-880
Phone: (951) 772-9355

The provider's authorized official is Chelsea Mari .
The authorized official title is Owner and has the following contact phone number (951) 772-9355.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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