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PROACTIVEHEALTHLLC
NPI 1083584023
Clinic/Center in Tustin, CA

Active since November 06, 2025
17601 17TH ST STE 120, TUSTIN, CA 92780(657) 210-4547 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proactivehealthllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVEHEALTHLLC (NPI 1083584023) is a healthcare organization registered as a clinic/center in Tustin, California and active in the NPI registry since November 2025. The organization lists Manwell Soliman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083584023
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROACTIVEHEALTHLLC
Location Address17601 17TH ST STE 120Tustin, CA 92780-1946
Mailing Address17601 17th St Ste 120Tustin, CA 92780-1946 · (657) 210-4547
Phone(657) 210-4547
Organization SubpartNo
Authorized OfficialManwell SolimanCeo · (562) 658-6766
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1083584023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
17601 17TH ST STE 120, Tustin, CA 92780
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL SEAN KELLY NP
Nurse Practitioner (Psychiatric/Mental Health)
17601 17TH ST STE 120
TUSTIN, CA 92780
Orange County (714) 769-6090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactivehealthllc's NPI number?

The NPI number for Proactivehealthllc is 1083584023. It was assigned to this organization in the NPPES registry on November 6, 2025.

Where is Proactivehealthllc located?

Proactivehealthllc is located at 17601 17th St Ste 120, Tustin, CA 92780. The listed phone number is (657) 210-4547.

What is Proactivehealthllc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Proactivehealthllc was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.