ACTIVE FEET, INC.


Address: 5490 Complex St Ste 605, San Diego, CA 92123-1126
Phone: 8584535057

ACTIVE FEET, INC. (NPI# 1871745653) 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) 1871745653
Entity Type Organization
Organization Name ACTIVE FEET, INC.
Other Organization Name THE ACTIVE FOOT STORE
Practice Address 5490 Complex St Ste 605
San Diego
CA 92123-1126
Mailing Address 12373 Brassica Street
San Diego
CA 92129-4127
Practice Telephone 8584535057
Practice Fax Number 8584535058
Mailing Telephone 8584535057
Mailing Fax Number 8584535058
Enumeration Date 2008-10-12
Last Update Date 2020-01-09
Authorized Official Name DR. JACK A REINGOLD (PRESIDENT)
Authorized Official Telephone 8584535057
Authorized Official Credential D.P.M.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
The Active Foot Store Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770625857 Active Feet, Inc. Durable Medical Equipment & Medical Supplies 4545 La Jolla Village Dr, #9026, San Diego, CA 92122-1241 2007-02-13

Office Location

Street Address 5490 COMPLEX ST STE 605
City SAN DIEGO
State CA
Zip Code 92123-1126

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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376168591 Ogo-sma Services LLC Durable Medical Equipment & Medical Supplies 8901 Activity Rd Ste 223, San Diego, CA 92126-4432 2020-06-12
1952921850 Proline Med Supply LLC Durable Medical Equipment & Medical Supplies 2667 Camino Del Rio S Ste 101, San Diego, CA 92108-3763 2020-04-21
1598385866 Modern Therapies LLC Durable Medical Equipment & Medical Supplies 2870 4th Ave Apt 401, San Diego, CA 92103-6273 2020-04-16
1639707060 Derma Hair Group Durable Medical Equipment & Medical Supplies 5703 Oberlin Dr Ste 302, San Diego, CA 92121-1743 2020-03-31
1205464658 Proactive Care Pharmacy, LLC. Durable Medical Equipment & Medical Supplies 7345 Linda Vista Rd Ste E, San Diego, CA 92111-5800 2020-03-31
1619502788 Inova Labs Inc. Durable Medical Equipment & Medical Supplies 7581 Convoy Ct, San Diego, CA 92111-1113 2020-03-09
1033742465 Dasc Medical Inc Durable Medical Equipment & Medical Supplies 5520 Gill Village Way, 907, San Diego, CA 92108 2020-02-13
1972147825 Binyam Gebregziaber Gebrehiwot I Durable Medical Equipment & Medical Supplies 4951 68th St, San Diego, CA 92115-1704 2019-11-04
1801438841 Goodchoice Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 4760 Mission Gorge Pl Ste D, San Diego, CA 92120-4230 2019-10-10
1366090029 Shur-in, Inc. Durable Medical Equipment & Medical Supplies 7452 Rowena Street, San Diego, CA 92119-1241 2019-08-27
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Competitor

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City SAN DIEGO
Zip Code 92123

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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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