Vida Revival Medical Corporation
NPI 1780560870 · Primary Care Clinic/Center · Thousand Oaks, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vida Revival Medical Corporation is a Primary Care Clinic/Center organization in Thousand Oaks, CA (NPI 1780560870).
Provider details
- NPI number
- 1780560870
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diana Alavi, MD/ Ceo(818) 232-8452
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-08-13
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Vida Revival Medical Corporation's NPI number?
- Vida Revival Medical Corporation's National Provider Identifier (NPI) is 1780560870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vida Revival Medical Corporation?
- Vida Revival Medical Corporation is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vida Revival Medical Corporation located?
- Vida Revival Medical Corporation's practice location on file with NPPES is 3180 Willow Ln Ste 114, Thousand Oaks, CA 91361-4984.
- What is Vida Revival Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Vida Revival Medical Corporation is (818) 232-8432.
- Does Vida Revival Medical Corporation accept Medicare?
- Vida Revival Medical Corporation 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 Vida Revival Medical Corporation?
- The authorized official listed on Vida Revival Medical Corporation's NPPES record is Diana Alavi, MD/ Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vida Revival Medical Corporation's NPI active?
- Yes — Vida Revival Medical Corporation's NPI (1780560870) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.