NPI 1255252375

Jacob Revilla

Practitioner Basic Emergency Medical Technician San Jose, CA

Practice location

Address: 245 Bieber Dr, San Jose, CA 95123-3613
Phone: (408) 440-6480

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E170956 (CA)

Other Emergency Medical Technician, Basic providers in California →

Registry record

NPI: 1255252375
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2026
Record last updated: 23 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.