REVITALIZE WELLNESS CENTER INC
NPI 1003637448
Nurse Practitioner - Psychiatric/Mental Health in Fresno, CA

Q: What is Revitalize Wellness Center Inc's NPI number?

The NPI number for Revitalize Wellness Center Inc is 1003637448. It was assigned to this organization in the NPPES registry on October 18, 2024.

Q: What is Revitalize Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 18, 2024

2501 W SHAW AVE STE 113, FRESNO, CA 93711(559) 507-3760(539) 238-2199 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Jan 5, 2026 (2 updates tracked since 2026).

On this page

About Revitalize Wellness Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIZE WELLNESS CENTER INC (NPI 1003637448) is a healthcare organization registered as a psychiatric/mental health in Fresno, California and active in the NPI registry since October 2024. The organization lists Shazia Tabasum Malik, Np, as its authorized official.

NPPES Registry Identity

NPI1003637448

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameREVITALIZE WELLNESS CENTER INC

Location Address2501 W SHAW AVE STE 113Fresno, CA 93711-3307

Mailing Address5170 N Floyd AveFresno, CA 93723-9435 · (559) 507-3760 · Fax (539) 238-2199

Phone(559) 507-3760

Fax(539) 238-2199

Organization SubpartNo

Authorized OfficialShazia Tabasum MalikNp · (559) 507-3760

Enumeration DateOctober 18, 2024

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1003637448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

2501 W SHAW AVE STE 113, Fresno, CA 93711

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER CHIPPERFIELD LMFT

Marriage & Family Therapist

2501 W SHAW AVE STE 113
FRESNO, CA 93711

Fresno County (559) 779-8349

MICHELLE DONALDSON MFT

Marriage & Family Therapist

2501 W SHAW AVE STE 113
FRESNO, CA 93711

Fresno County (559) 871-2683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalize Wellness Center Inc's NPI number?

The NPI number for Revitalize Wellness Center Inc is 1003637448. It was assigned to this organization in the NPPES registry on October 18, 2024.

Where is Revitalize Wellness Center Inc located?

Revitalize Wellness Center Inc is located at 2501 W Shaw Ave Ste 113, Fresno, CA 93711. The listed phone number is (559) 507-3760.

What is Revitalize Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Revitalize Wellness Center Inc was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.