ACTIVE BODY SUPPLIES (NPI# 1649439969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649439969 |
| Entity Type | Organization |
| Organization Name | ACTIVE BODY SUPPLIES |
| Practice Address |
18344 Clark St Suite 205 Tarzana CA 91356-3505 |
| Practice Telephone | 8187044754 |
| Mailing Telephone | 8187044754 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | MS. MARGARET E PEREZ (DIRECTOR) |
| Authorized Official Telephone | 8187044754 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 17786DC | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1598771719 | 01 | |
| CA | CA CHIROPRACTOR | 17786 | 01 |
| Street Address |
18344 CLARK ST SUITE 205 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508813619 | South Valley Radiology Medical Group Inc | Nuclear Medicine | 18344 Clark St, Suite 101, Tarzana, CA 91356-3505 | 2006-05-27 |
| 1093239014 | Liya Yin | Physical Therapist | 18344 Clark St, Tarzana, CA 91356-3505 | 2017-08-01 |
| 1780089169 | Keren Michelle Pinto | Physical Therapist | 18344 Clark St, #208, Tarzana, CA 91356-3505 | 2014-10-28 |
| 1760738736 | Gil Bender, Md Inc. | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2012-07-27 |
| 1710046784 | Shiu-bong Lawrence Ho | Physical Therapist | 18344 Clark St, Suite 208, Tarzana, CA 91356-3580 | 2006-12-06 |
| 1194834879 | Brian Keith Fenmore | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2006-08-29 |
| 1174530687 | Philip S. Rosen | Chiropractor | 18344 Clark St, Tarzana, CA 91356-3505 | 2006-08-01 |
| 1598771719 | Margaret E. Perez | Chiropractor | 18344 Clark St, Suite 205, Tarzana, CA 91356-3505 | 2006-07-31 |
| 1316967326 | James Robert Shields | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2006-07-20 |
| 1154357531 | South Valley Imaging | Clinic/Center | 18344 Clark St, Suite 101, Tarzana, CA 91356-3505 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448099 | Charlene Charthern | Prosthetic/Orthotic Supplier | 19529 Ventura Blvd, Tarzana, CA 91356-2957 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696592 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 | 2020-10-14 |
| 1871191742 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 | 2020-10-13 |
| 1740887462 | A-z Consulting O & P Services | Prosthetic/Orthotic Supplier | 1133 Smith Ln Ste 5, Roseville, CA 95661-4131 | 2020-10-06 |
| 1255938452 | Sheek Hair Boutique | Prosthetic/Orthotic Supplier | 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 | 2020-10-01 |
| 1922615368 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 1101 Bryan Ave Ste C, Tustin, CA 92780-4401 | 2020-09-29 |
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1225640220 | Christopher Holloway | Prosthetic/Orthotic Supplier | 4517 Market St Ste 4, Ventura, CA 93003-7841 | 2020-08-20 |
| 1407468416 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 | 2020-08-20 |
| 1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
| 1801404199 | Covering With Care | Prosthetic/Orthotic Supplier | 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 | 2020-07-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.