Active NPI
Wellness Primary Care a Physician Assistant Practice
- Physician Assistant
- Tarzana, CA
National Provider Identifier
1013825231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 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.