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ACTIVE LIFE WOUND CENTER A PROFESSIONAL MEDICAL CORPORATION
NPI 1396553616
Family Medicine in Sacramento, CA

Active since December 19, 2024
2 SCRIPPS DR STE 202, SACRAMENTO, CA 95825(916) 436-3015 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Active Life Wound Center A Professional Medical Corporation NPPES

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

ACTIVE LIFE WOUND CENTER A PROFESSIONAL MEDICAL CORPORATION (NPI 1396553616) is a healthcare organization registered as a family medicine in Sacramento, California and active in the NPI registry since December 2024. The organization lists Jeffrey Souza, Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1396553616
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACTIVE LIFE WOUND CENTER A PROFESSIONAL MEDICAL CORPORATION
Location Address2 SCRIPPS DR STE 202Sacramento, CA 95825-6207
Mailing AddressPo Box 661587Sacramento, CA 95866-1587 · (916) 436-3015
Phone(916) 436-3015
Organization SubpartNo
Authorized OfficialJeffrey SouzaCompliance Manager · (916) 436-3015
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1396553616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2 SCRIPPS DR STE 202, Sacramento, CA 95825
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Other Names 1

Other NameActive Life Wound Center

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 3

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

WAYNE E WALTERS DDS
Dentist (General Practice)
2 SCRIPPS DR STE 202
SACRAMENTO, CA 95825
Sacramento County (916) 929-5544
ACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION
Nurse Practitioner
2 SCRIPPS DR STE 202
SACRAMENTO, CA 95825
Sacramento County (916) 436-3015
JEFFREY SOUZA FNP
Nurse Practitioner (Family)
2 SCRIPPS DR STE 202
SACRAMENTO, CA 95825
Sacramento County (916) 436-3015

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 Wound Center A Professional Medical Corporation's NPI number?

The NPI number for Active Life Wound Center A Professional Medical Corporation is 1396553616. It was assigned to this organization in the NPPES registry on December 19, 2024. The provider is also known as Active Life Wound Center.

Where is Active Life Wound Center A Professional Medical Corporation located?

Active Life Wound Center A Professional Medical Corporation is located at 2 Scripps Dr Ste 202, Sacramento, CA 95825. The listed phone number is (916) 436-3015.

What is Active Life Wound Center A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Active Life Wound Center A Professional Medical Corporation was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.