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ACTIVE LIFE, LLC
NPI 1902852056
Prosthetic/Orthotic Supplier in Northridge, CA

Active since May 26, 2006
18433 ROSCOE BLVD STE 108, NORTHRIDGE, CA 91325(818) 835-9441(818) 539-7962 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, Jan 14, 2021, Mar 1, 2018 and 1 more (4 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 1902852056) is a healthcare organization registered as a prosthetic/orthotic supplier in Northridge, California and active in the NPI registry since May 2006. The organization lists Pallavi Chintapalli Nemani, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1902852056
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameACTIVE LIFE, LLC
Location Address18433 ROSCOE BLVD STE 108Northridge, CA 91325-4131
Mailing Address1577 E Chevy Chase Dr Ste 210Glendale, CA 91206-4741 · (818) 495-4610 · Fax (818) 484-2812
Phone(818) 835-9441
Fax(818) 539-7962
Organization SubpartNo
Authorized OfficialPallavi Chintapalli NemaniCompliance Officer · (512) 552-6311
Enumeration DateMay 26, 2006
Last NPPES UpdateJanuary 24, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1902852056 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.
18433 ROSCOE BLVD STE 108, Northridge, CA 91325
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Other Identifiers 1

MedicaidXC0009601CA

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Active Life, LLC carries, from the Medicare DMEPOS supplier directory.

Active Life, LLC

DMEPOS supplier · Northridge, CA
⋮

Does not accept Medicare assignment

Active Life, LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20588555
Medicare Participant SinceMay 11, 2004
Supplier Location18433 Roscoe Blvd Ste 108Northridge, CA 91325
Phone(818) 835-9441
Provider TypeCertified Orth/Pros/Pedorthist

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1902852056. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Active Life, LLC located?

Active Life, LLC is located at 18433 Roscoe Blvd Ste 108, Northridge, CA 91325. The listed phone number is (818) 835-9441.

What is Active Life, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Active Life, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Active Life, LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

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.