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ACTIVE LIFE, LLC
NPI 1154986750
Prosthetic/Orthotic Supplier in Los Angeles, CA

Active since May 08, 2019
403 W ADAMS BLVD STE 201, LOS ANGELES, CA 90007(213) 814-4062(213) 814-4079 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2023, Jan 14, 2021, Sep 10, 2019 and 2 more (5 updates tracked since 2019).

About Active Life, Llc NPPES

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

ACTIVE LIFE, LLC (NPI 1154986750) is a healthcare organization registered as a prosthetic/orthotic supplier in Los Angeles, California and active in the NPI registry since May 2019. The organization lists Pallavi Chintapalli Nemani, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1154986750
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameACTIVE LIFE, LLC
Location Address403 W ADAMS BLVD STE 201Los Angeles, CA 90007-2664
Mailing Address1577 E Chevy Chase Dr Ste 210Glendale, CA 91206-4741 · (818) 495-4610 · Fax (818) 484-2812
Phone(213) 814-4062
Fax(213) 814-4079
Organization SubpartNo
Authorized OfficialPallavi Chintapalli NemaniCompliance Officer · (512) 552-6311
Enumeration DateMay 8, 2019
Last NPPES UpdateMarch 18, 20245 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1154986750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
403 W ADAMS BLVD STE 201, Los Angeles, CA 90007
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Other Identifiers 1

MedicaidXC0009601CA

Other Providers at the Same Location NPPES

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

BOSTON BRACE INTERNATIONAL INC.
Prosthetic/Orthotic Supplier
403 W ADAMS BLVD STE 201
LOS ANGELES, CA 90007
Los Angeles County (508) 588-6060

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 Life, LLC's NPI number?

The NPI number for Active Life, LLC is 1154986750. It was assigned to this organization in the NPPES registry on May 8, 2019.

Where is Active Life, LLC located?

Active Life, LLC is located at 403 W Adams Blvd Ste 201, Los Angeles, CA 90007. The listed phone number is (213) 814-4062.

What is Active Life, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Active Life, LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.