ACTIVE HEALTH CLINIC LLC
NPI 1417767518
General Practice in Vero Beach, FL

Q: What is Active Health Clinic LLC's NPI number?

The NPI number for Active Health Clinic LLC is 1417767518. It was assigned to this organization in the NPPES registry on January 10, 2025. The provider is doing business as Active Health Clinic.

Q: What is Active Health Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 10, 2025

1948 OCEAN RIDGE CIR, VERO BEACH, FL 32963(415) 279-0947 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Active Health Clinic Llc NPPES

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

ACTIVE HEALTH CLINIC LLC (NPI 1417767518), doing business as Active Health Clinic, is a healthcare organization registered as a general practice in Vero Beach, Florida and active in the NPI registry since January 2025. The organization lists Kassra Michael Khazalpour, President, as its authorized official.

NPPES Registry Identity

NPI1417767518

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameACTIVE HEALTH CLINIC LLC

Location Address1948 OCEAN RIDGE CIRVero Beach, FL 32963-2730

Mailing Address1948 Ocean Ridge CirVero Beach, FL 32963-2730 · (415) 279-0947

Phone(415) 279-0947

Organization SubpartNo

Authorized OfficialKassra Michael KhazalpourPresident · (415) 279-0947

Enumeration DateJanuary 10, 2025

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1417767518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedHealth and Wellness CoachTaxonomy 171400000X

Also ListedHealth EducatorTaxonomy 174H00000X

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedHome InfusionTaxonomy 251F00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

1948 OCEAN RIDGE CIR, Vero Beach, FL 32963

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Other Names 1

Doing Business AsActive Health Clinic

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

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 Health Clinic LLC's NPI number?

The NPI number for Active Health Clinic LLC is 1417767518. It was assigned to this organization in the NPPES registry on January 10, 2025. The provider is doing business as Active Health Clinic.

Where is Active Health Clinic LLC located?

Active Health Clinic LLC is located at 1948 Ocean Ridge Cir, Vero Beach, FL 32963. The listed phone number is (415) 279-0947.

What is Active Health Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Active Health Clinic LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.