Revitalize Wellness Center Inc
NPI 1003637448 · Psychiatric/Mental Health Nurse Practitioner · Fresno, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Wellness Center Inc is a Psychiatric/Mental Health Nurse Practitioner organization in Fresno, CA (NPI 1003637448).
Provider details
- NPI number
- 1003637448
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shazia Malik, NP(559) 507-3760
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Revitalize Wellness Center Inc's NPI number?
- Revitalize Wellness Center Inc's National Provider Identifier (NPI) is 1003637448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Wellness Center Inc?
- Revitalize Wellness Center Inc is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revitalize Wellness Center Inc located?
- Revitalize Wellness Center Inc's practice location on file with NPPES is 2501 W Shaw Ave Ste 113, Fresno, CA 93711-3307.
- What is Revitalize Wellness Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Wellness Center Inc is (559) 507-3760.
- Does Revitalize Wellness Center Inc accept Medicare?
- Revitalize Wellness Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revitalize Wellness Center Inc?
- The authorized official listed on Revitalize Wellness Center Inc's NPPES record is Shazia Malik, NP. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Wellness Center Inc's NPI active?
- Yes — Revitalize Wellness Center Inc's NPI (1003637448) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.