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ACTIVE LIFE, LLC
NPI 1366953168
Prosthetic/Orthotic Supplier in Palmdale, CA

Active since October 19, 2017
190 SIERRA CT STE A4, PALMDALE, CA 93550(818) 495-4610(818) 484-2812 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2021, Oct 19, 2017 (2 updates tracked since 2017).

About Active Life, Llc NPPES

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

ACTIVE LIFE, LLC (NPI 1366953168) is a healthcare organization registered as a prosthetic/orthotic supplier in Palmdale, California and active in the NPI registry since October 2017. The organization lists Spencer Arden Doty, President, as its authorized official.

NPPES Registry Identity

NPI1366953168
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameACTIVE LIFE, LLC
Location Address190 SIERRA CT STE A4Palmdale, CA 93550-7608
Mailing Address1577 E Chevy Chase Dr Ste 210Glendale, CA 91206-4741 · (818) 522-8781
Phone(818) 495-4610
Fax(818) 484-2812
Organization SubpartNo
Authorized OfficialSpencer Arden DotyPresident · (858) 616-7724
Enumeration DateOctober 19, 2017
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1366953168 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.
190 SIERRA CT STE A4, Palmdale, CA 93550
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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.

VERIO HEALTHCARE, INC
Durable Medical Equipment & Medical Supplies
190 SIERRA CT STE A4
PALMDALE, CA 93550
Los Angeles County (661) 463-5466

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 1366953168. It was assigned to this organization in the NPPES registry on October 19, 2017.

Where is Active Life, LLC located?

Active Life, LLC is located at 190 Sierra Ct Ste A4, Palmdale, CA 93550. The listed phone number is (818) 495-4610.

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 January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.