ACTIVE LIFE, INC.


Address: 3851 Katella Ave Ste 255, Los Alamitos, CA 90720-3353
Phone: 7146026436

ACTIVE LIFE, INC. (NPI# 1780195487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780195487
Entity Type Organization
Organization Name ACTIVE LIFE, INC.
Practice Address 3851 Katella Ave Ste 255
Los Alamitos
CA 90720-3353
Mailing Address 1577 E Chevy Chase Dr Ste 210
Glendale
CA 91206-4741
Practice Telephone 7146026436
Practice Fax Number 7144685148
Mailing Telephone 8185228781
Enumeration Date 2017-10-20
Last Update Date 2017-10-20
Authorized Official Name SPENCER ARDEN DOTY (PRESIDENT)
Authorized Official Telephone 8185228781
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA XC0009601 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154986750 Active Life, Inc. Prosthetic/Orthotic Supplier 3407 W 6th St Ste 815, Los Angeles, CA 90020-2555 2019-05-08
1609342914 Active Life, Inc. Prosthetic/Orthotic Supplier 1980 Orange Tree Ln Ste 230, Redlands, CA 92374-4559 2018-10-15
1063902708 Active Life, Inc. Prosthetic/Orthotic Supplier 1710 Plum Ln Ste C, Redlands, CA 92374-0100 2018-05-17
1568961977 Active Life, Inc. Prosthetic/Orthotic Supplier 855 N Lark Ellen Ave Ste A, West Covina, CA 91791-1099 2018-02-12
1669988176 Active Life, Inc. Prosthetic/Orthotic Supplier 29645 Rancho California Rd Ste 213, Temecula, CA 92591-5285 2017-12-19
1497264733 Active Life, Inc. Prosthetic/Orthotic Supplier 23141 Moulton Pkwy Ste 109, Laguna Hills, CA 92653-1241 2017-09-28
1952765711 Active Life, Inc. Prosthetic/Orthotic Supplier 1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA 90033 2016-04-07
1952609661 Active Life, Inc. Prosthetic/Orthotic Supplier 7910 Frost St Ste 320, San Diego, CA 92123 2011-03-03
1073162244 Active Life, Inc. Prosthetic/Orthotic Supplier 3300 E South St Ste 305, Lakewood, CA 90805-4595 2019-09-10
1942865605 Active Life, Inc. Prosthetic/Orthotic Supplier 16008 Kamana Rd, Apple Valley, CA 92307-1376 2019-05-07

Office Location

Street Address 3851 KATELLA AVE STE 255
City LOS ALAMITOS
State CA
Zip Code 90720-3353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497076962 Rotem Korsnack Podiatrist 3851 Katella Ave Ste 255, Los Alamitos, CA 90720-3353 2010-06-18
1831733955 Kushagra Verma Md Orthopaedic Surgery 3851 Katella Ave Ste 255, Los Alamitos, CA 90720-3353 2019-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871152132 Connie Lee Wax Social Worker 5182 Katella, Suite 206, Los Alamitos, CA 90720 2019-06-11
1750891446 Angela Lynn Hudson Nurse Practitioner 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 2017-10-06
1922524149 Tigom LLC Pharmacy 4434 Cerritos Ave, Los Alamitos, CA 90720 2017-08-18
1821531401 Added Access Cardiology Inc Internal Medicine 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 2016-11-30
1619348091 Debbie Chen Marriage & Family Therapist 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 2015-10-12
1801292974 Michelle R. Ancharoff Psychologist 4281 Katella Ave #122, Los Alamitos, CA 90720 2014-11-17
1497179253 Jeffrey J Mccullough Dentist 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 2014-02-13
1043634124 Alamitos Oral Surgery Dentist 4582 Katella Avenue, Los Alamitos, CA 90720 2014-02-11
1972939718 Twin Town Corporation Clinic/Center 4376 Katella Ave., Los Alamitos, CA 90720 2013-09-25
1952644197 Lindsay Enebak Mossinger Internal Medicine 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 2013-04-05
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy 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.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518105840 Stellar Prosthetics & Orthotics Prosthetic/Orthotic Supplier 3831 Catalina St, Suite B, Los Alamitos, CA 90720-5405 2009-01-23

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City LOS ALAMITOS
Zip Code 90720

Improve Information

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Dataset Information

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.

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