Organization Active NPI

Reveal It Aesthetics and Wellness, LLC

  • Family Nurse Practitioner
  • Menifee, CA
National Provider Identifier
1497543185
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REVEAL IT AESTHETICS AND WELLNESS, LLC
Practice address
33348 Pencin Rd
Menifee, CA 92584-9217
Phone
(951) 265-2340
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Talia Clate, NPNPI 1528821980
Title
Owner
Phone
(951) 265-2340

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

33348 Pencin Rd
Menifee, CA 92584-9217

Mailing address

28039 Scott Rd Ste D
Box 255
Murrieta, CA 92563-7430

National Provider Directory

National Provider Directory

Locations

28039 Scott Rd
Ste D
Murrieta, CA 92563
Phone (951) 221-0123

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": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1497543185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28039 SCOTT RD STE D",
            "address_2": "BOX 255",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33348 PENCIN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849217",
            "telephone_number": "951-265-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL IT AESTHETICS AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CLATE",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-265-2340",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.