Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive 3.2 Wellness Nursing PC

Organization Family Medicine Physician · NPI 1295693588

Revive 3.2 Wellness Nursing PC is a Family Medicine Physician in Northridge, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10328 Reseda Blvd
Northridge, CA 91326-3433
Phone: (818) 634-0082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1295693588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dianne Palasio — Nurse Practitioner/Ceo · (818) 634-0082
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address10328 Reseda Blvd, Northridge, CA 91326-3433

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