ACTIVE WELLNESS LLC
NPI 1114544970
Dietitian, Registered - Nutrition, Obesity and Weight Management in San Francisco, CA

Q: What is Active Wellness LLC's NPI number?

The NPI number for Active Wellness LLC is 1114544970. It was assigned to this organization in the NPPES registry on June 28, 2020.

Q: What is Active Wellness LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Active since June 28, 2020

600 CALIFORNIA ST FL 11, SAN FRANCISCO, CA 94108(415) 377-8595 Get Directions Write a Review

NPPES record last updated: June 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Active Wellness Llc NPPES

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

ACTIVE WELLNESS LLC (NPI 1114544970) is a healthcare organization registered as a nutrition, obesity and weight management in San Francisco, California and active in the NPI registry since June 2020. The organization lists Thomas Carey White, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114544970

Entity TypeOrganization

Primary Taxonomy133VN1201X

Legal Business NameACTIVE WELLNESS LLC

Location Address600 CALIFORNIA ST FL 11San Francisco, CA 94108-2727

Mailing AddressPo Box 2358San Francisco, CA 94126-2358 · (415) 377-8595

Phone(415) 377-8595

Organization SubpartNo

Authorized OfficialThomas Carey WhiteCfo · (415) 377-8595

Enumeration DateJune 28, 2020

NPPES CertifiedJune 28, 2020

✔ NPI 1114544970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers

Taxonomy Code133VN1201X

Definition

An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.

600 CALIFORNIA ST FL 11, San Francisco, CA 94108

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KERRI ANN MASUTTO M.D.

Internal Medicine

600 CALIFORNIA ST FL 11
SAN FRANCISCO, CA 94108

San Francisco County (415) 515-9382

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 Active Wellness LLC's NPI number?

The NPI number for Active Wellness LLC is 1114544970. It was assigned to this organization in the NPPES registry on June 28, 2020.

Where is Active Wellness LLC located?

Active Wellness LLC is located at 600 California St Fl 11, San Francisco, CA 94108. The listed phone number is (415) 377-8595.

What is Active Wellness LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

When was this NPI record last updated?

The NPPES record for Active Wellness LLC was last updated on June 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.