REVITALIZE WELLNESS CENTER INC
REVITALIZE WELLNESS CENTER INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003637448, based in Fresno, CA. It is classified under Psychiatric/Mental Health Nurse Practitioner.
Getting there
Here is what surrounds this office in Fresno, based on OpenStreetMap data collected Oct 11, 2026. Parking is available about 0.50 mi away. If you arrive early, there is a coffee shop 0.44 mi away.
Getting here and what is nearby
Hotel Hotel Piccadilly 846 ft ~4 min
Parking 1,024 ft ~4 min
Restaurant The Annex Kitchen 0.20 mi ~5 min
2257 West Shaw Avenue, Fresno 93711
Restaurant DiCicco's Italian Restaurant 0.26 mi ~6 min
2221 West Shaw Avenue, Fresno 93711
Restaurant Rock & Noodles 0.26 mi ~6 min
2225 West Shaw Avenue, Fresno 93711
Gas station EZ-Trip 0.34 mi ~7 min
2171 West Shaw Avenue, Fresno 93711
Coffee Starbucks 0.44 mi ~9 min
2088 West Shaw Avenue, Fresno 93711
Mo-Sa 05:30-20:00; Su 06:00-20:00
Grocery Papaya Fresh 0.47 mi ~10 min
2047 West Shaw Avenue, Fresno 93711
Grocery Aldi 0.47 mi ~10 min
2072 West Shaw Avenue, Fresno 93711
Mo-Su 09:00-21:00
Parking 0.50 mi ~10 min
Gas station 7-Eleven 0.51 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6800322074
- Enrollment ID
- O20241211001754
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003637448 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 18, 2024 |
| Last updated | Apr 14, 2026 |
| Status | Active |
| Practice address |
2501 W SHAW AVE STE 113 Fresno, CA 93711 (559) 507-3760 Fax (539) 238-2199 |
| Mailing address |
5170 N FLOYD AVE Fresno, CA 93723 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 6 | 3 | 7 | 4 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 3 | 3 | 5 | 4 | 8 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.