ACTIVE LIFE MEDICAL MANAGEMENT (NPI# 1962415661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962415661 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE MEDICAL MANAGEMENT |
| Other Organization Name | ACTIVE LIFE MEDICAL |
| Practice Address |
1018 Live Oak Blvd., Suite K Yuba City CA 95991 |
| Mailing Address |
Po Box 586 Yuba City CA 95992-0586 |
| Practice Telephone | 8885250255 |
| Practice Fax Number | 8885250255 |
| Mailing Telephone | 8885250255 |
| Mailing Fax Number | 8885250255 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | JEFFREY SOUZA (PRESIDENT) |
| Authorized Official Telephone | 8885250255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0201003378 | VA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1962415661 | 05 | |
| UMWA | 1526243 | 01 | |
| VA | BCBS | 262513 | 01 |
| Other Name | Type Code |
|---|---|
| Active Life Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134507908 | Active Life Medical Management | Durable Medical Equipment & Medical Supplies | 4501 Jackson St, Ste. C-322, Alexandria, LA 71303-2555 | 2015-05-13 |
| Street Address |
1018 LIVE OAK BLVD., SUITE K |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
| 1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
| 1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
| 1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
| 1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
| 1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
| 1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
| 1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
| Find all providers in zip 95991 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619401254 | Pro Breathe Respiratory Care Solutions | Durable Medical Equipment & Medical Supplies | 1600 Starr Dr Ste A, Yuba City, CA 95993-2628 | 2017-04-19 |
| 1043627060 | Owens Healthcare - Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 1697 Sierra Ave, Yuba City, CA 95993-8982 | 2014-07-22 |
| 1275840050 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1640 Lincoln Rd, Yuba City, CA 95993-6061 | 2010-09-01 |
| 1285801548 | Larry A. Edwards | Durable Medical Equipment & Medical Supplies | 1190 Market St, Suite D, Yuba City, CA 95991-3451 | 2008-05-14 |
| 1992879878 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 1215 Plumas St Ste 1000, Yuba City, CA 95991-3456 | 2006-11-20 |
| 1235248683 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1590 Butte House Road, Yuba City, CA 95993-2237 | 2006-08-30 |
| 1659386928 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 855 Colusa Ave, Yuba City, CA 95991-3717 | 2006-07-29 |
| 1689689770 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1781 Colusa Hwy, Yuba City, CA 95993-9096 | 2006-07-29 |
| 1134142524 | Afato Medical Corporation | Durable Medical Equipment & Medical Supplies | 1429 Colusa Hwy Ste B, Yuba City, CA 95993-9092 | 2006-07-26 |
| 1922020551 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1153 Butte House Rd, Yuba City, CA 95991-3102 | 2006-07-24 |
| Find all providers in YUBA CITY | ||||
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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.