ACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION - NPI 1801253323

Q: What is Active Life Wound Clinic A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Active Life Wound Clinic A Professional Nursing Corporation NPPES

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

ACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION (NPI 1801253323) is a healthcare organization registered as a nurse practitioner in Sacramento, California and active in the NPI registry since January 2016. The organization maintains 2 additional practice locations and lists Jeff Souza, President, as its authorized official.

NPPES Registry Identity

NPI1801253323

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION

Location Address2 SCRIPPS DR STE 202Sacramento, CA 95825-6207

Mailing AddressPo Box 661587Sacramento, CA 95866-1587

Phone(916) 436-3015

Organization SubpartNo

Authorized OfficialJeff SouzaPresident · (916) 436-3015

Enumeration DateJanuary 28, 2016

Last NPPES UpdateApril 15, 20257 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1801253323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

2 SCRIPPS DR STE 202, Sacramento, CA 95825

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Secondary Practice Locations 2

Location 1406 Sunrise Ave Ste 250Roseville, CA 95661-4147 · Phone (916) 957-1840 · Fax (916) 957-1885

Location 21526 Plumas Ct Ste 250Yuba City, CA 95991-2961 · Phone (888) 525-0255 · Fax (888) 525-1585

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 CENTER A PROFESSIONAL MEDICAL CORPORATION

Family Medicine

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 Clinic A Professional Nursing Corporation's NPI number?

The NPI number for Active Life Wound Clinic A Professional Nursing Corporation is 1801253323. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is Active Life Wound Clinic A Professional Nursing Corporation located?

Active Life Wound Clinic A Professional Nursing 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 Clinic A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Active Life Wound Clinic A Professional Nursing Corporation was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.