ACTIVE WELLNESS LLC
NPI 1114544970
Dietitian, Registered - Nutrition, Obesity and Weight Management in San Francisco, CA

NPI Status: Active since June 28, 2020

Contact Information

600 CALIFORNIA ST FL 11
SAN FRANCISCO, CA
ZIP 94108
Phone: (415) 377-8595

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  • Organization
  • Dietitian, Registered
  • Nutrition, Obesity and Weight Management

About ACTIVE WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Active Wellness Llc, a provider established in San Francisco, California operating as a Dietitian, Registered, focusing in nutrition, obesity and weight management . The healthcare provider is registered in the NPI registry with number 1114544970 assigned on June 2020. The practitioner's primary taxonomy code is 133VN1201X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Active Wellness Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Thomas Carey White Iii (Cfo)

NPI
1114544970
Provider Name
ACTIVE WELLNESS LLC
Entity Type
Organization
Location Address
600 CALIFORNIA ST FL 11 SAN FRANCISCO, CA 94108
Location Phone
(415) 377-8595
Mailing Address
PO BOX 2358 SAN FRANCISCO, CA 94126
Mailing Phone
(415) 377-8595
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2020
Last Update Date
06-28-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered Nutrition, Obesity and Weight Management

Taxonomy Code
133VN1201X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS CAREY WHITE III

Authorized Official Title
CFO
Authorized Official Phone
(415) 377-8595

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114544970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241048914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 4 + 8 + 9 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114544970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780913442DR. KERRI ANN MASUTTO M.D.
Individual
Internal Medicine600 CALIFORNIA ST FL 11
SAN FRANCISCO, CA 94108
(415) 515-9382
1114189784 TIFFANY RACHEL LESTER M.D.
Individual
Clinic/Center (Primary Care)600 CALIFORNIA ST FL 11
SAN FRANCISCO, CA 94108
(415) 515-9382

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114544970, enumerated in the NPI registry as an "organization" on June 28, 2020

The provider is located at 600 California St Fl 11 San Francisco, Ca 94108 and the phone number is (415) 377-8595

This medical organization specializes in Dietitian, Registered with taxonomy code 133VN1201X with a focus in Nutrition, Obesity and Weight Management

This NPI record was last updated on June 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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