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ACTIVE LIFE, LLC
NPI 1497264733
Prosthetic/Orthotic Supplier in Mission Viejo, CA

Active since September 28, 2017
26800 CROWN VALLEY PKWY STE 360, MISSION VIEJO, CA 92691(949) 364-2773(949) 204-0345 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2023, Jul 12, 2021, Jun 21, 2021 and 2 more (5 updates tracked since 2018).

About Active Life, Llc NPPES

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

ACTIVE LIFE, LLC (NPI 1497264733) is a healthcare organization registered as a prosthetic/orthotic supplier in Mission Viejo, California and active in the NPI registry since September 2017. The organization lists Pallavi Chintapalli Nemani, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1497264733
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameACTIVE LIFE, LLC
Location Address26800 CROWN VALLEY PKWY STE 360Mission Viejo, CA 92691-8021
Mailing Address1577 E Chevy Chase Dr Ste 210Glendale, CA 91206-4741 · (818) 495-4610 · Fax (818) 478-3457
Phone(949) 364-2773
Fax(949) 204-0345
Organization SubpartNo
Authorized OfficialPallavi Chintapalli NemaniCompliance Officer · (512) 552-6311
Enumeration DateSeptember 28, 2017
Last NPPES UpdateJanuary 24, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1497264733 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.
26800 CROWN VALLEY PKWY STE 360, Mission Viejo, CA 92691
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Other Identifiers 1

MedicaidXC0009601CA

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 1497264733. It was assigned to this organization in the NPPES registry on September 28, 2017.

Where is Active Life, LLC located?

Active Life, LLC is located at 26800 Crown Valley Pkwy Ste 360, Mission Viejo, CA 92691. The listed phone number is (949) 364-2773.

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 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.