1. Home
  2. Directory
  3. California
  4. Thousand Oaks
  5. Clinic Center
  6. NPI Profile

VIDA REVIVAL MEDICAL CORPORATION
NPI 1780560870
Clinic/Center - Primary Care in Thousand Oaks, CA

Active since August 13, 2025
3180 WILLOW LN STE 114, THOUSAND OAKS, CA 91361(818) 232-8432(818) 232-8433 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vida Revival Medical Corporation NPPES

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

VIDA REVIVAL MEDICAL CORPORATION (NPI 1780560870) is a healthcare organization registered as a primary care in Thousand Oaks, California and active in the NPI registry since August 2025. The organization lists Diana Alavi, Md/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1780560870
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVIDA REVIVAL MEDICAL CORPORATION
Location Address3180 WILLOW LN STE 114Thousand Oaks, CA 91361-4984
Mailing Address3180 Willow Ln Ste 114Thousand Oaks, CA 91361-4984 · (818) 232-8432 · Fax (818) 232-8433
Phone(818) 232-8432
Fax(818) 232-8433
Organization SubpartNo
Authorized OfficialDiana AlaviMd/ Ceo · (818) 232-8452
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1780560870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3180 WILLOW LN STE 114, Thousand Oaks, CA 91361
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

DR. PONTEA HARIRI DACCHM, L.AC.
Acupuncturist
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361
Los Angeles County (818) 232-8432
HOWELL HEALTHCARE
Clinic/Center (Urgent Care)
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361
Los Angeles County (805) 373-1785
DIANA ALAVI
Internal Medicine
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361
Los Angeles County (818) 232-8432
VIDA REVIVAL LLC
Internal Medicine
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361
Los Angeles County (818) 232-8432

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 Vida Revival Medical Corporation's NPI number?

The NPI number for Vida Revival Medical Corporation is 1780560870. It was assigned to this organization in the NPPES registry on August 13, 2025.

Where is Vida Revival Medical Corporation located?

Vida Revival Medical Corporation is located at 3180 Willow Ln Ste 114, Thousand Oaks, CA 91361. The listed phone number is (818) 232-8432.

What is Vida Revival Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Vida Revival Medical Corporation was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.