Active NPI
Reveal It Aesthetics and Wellness, LLC
- Family Nurse Practitioner
- Menifee, CA
National Provider Identifier
1497543185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Talia Clate, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Idyllwild, CA
- NPI 1528821980
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.