Organization Active NPI

Vida Avanti Medicine

  • Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1073288718
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VIDA AVANTI MEDICINE
Practice address
3350 E 7TH St # 519
Long Beach, CA 90804-5003
Phone
(424) 390-7606
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Alison Malizzi, NPNPI 1932597440
Title
Ceo
Phone
(424) 390-7606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3350 E 7TH St # 519
Long Beach, CA 90804-5003

Mailing address

3013 Keeling Ave
Nashville, TN 37216-3015
Phone (842) 566-2214

Other names 1

  • Vida Avanti Regenerative Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

3350 E 7th St
#519
Long Beach, CA 90804
Phone (424) 390-7606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1073288718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 KEELING AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163015",
            "telephone_number": "842-566-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E 7TH ST # 519",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045003",
            "telephone_number": "424-390-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA AVANTI MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "MALIZZI",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-390-7606",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Avanti Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.