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Vida Revival Medical Corporation

Primary Care Clinic/Center in Thousand Oaks, CA · enumerated 2025 · authorized official Diana Alavi, MD/ Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780560870

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Registry record

Entity type Organization (Type 2)
Legal business name Vida Revival Medical Corporation
Practice address 3180 Willow Ln Ste 114, Thousand Oaks, CA, 91361
Fax (818) 232-8433
Enumeration date Aug 13, 2025
Last updated in NPPES Aug 13, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Diana Alavi
Title MD/ Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Vida Revival Medical Corporation?
The NPI for Vida Revival Medical Corporation is 1780560870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Vida Revival Medical Corporation?
NPPES lists Diana Alavi (MD/ Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-13.