Organization Active NPI

Wellness Primary Care a Physician Assistant Practice

  • Physician Assistant
  • Tarzana, CA
National Provider Identifier
1013825231
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
WELLNESS PRIMARY CARE A PHYSICIAN ASSISTANT PRACTICE
Practice address
5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127
Phone
(818) 321-9999
NPI assigned
Aug 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Riboh, PA-C
Title
President
Phone
(818) 321-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127

Mailing address

5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127
Phone (818) 321-9999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1013825231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 313",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566127",
            "telephone_number": "818-321-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 313",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566127",
            "telephone_number": "818-321-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PRIMARY CARE A PHYSICIAN ASSISTANT PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "RIBOH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-321-9999",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.