ACTIVE LIFE, LLC
NPI 1497264733
Prosthetic/Orthotic Supplier in Mission Viejo, CA
NPI Status: Active since September 28, 2017
Contact Information
26800 CROWN VALLEY PKWY STE 360
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-2773
Fax: (949) 204-0345
- Organization
- Prosthetic/Orthotic Supplier
About ACTIVE LIFE, LLC
This page provides the complete NPI Profile along with additional information for Active Life, Llc, a provider established in Mission Viejo, California operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1497264733 assigned on September 2017. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Pallavi Chintapalli Nemani (Compliance Officer)
- NPI
- 1497264733
- Provider Name
- ACTIVE LIFE, LLC
- Entity Type
- Organization
- Location Address
- 26800 CROWN VALLEY PKWY STE 360 MISSION VIEJO, CA 92691
- Location Phone
- (949) 364-2773
- Location Fax
- (949) 204-0345
- Mailing Address
- 1577 E CHEVY CHASE DR STE 210 GLENDALE, CA 91206
- Mailing Phone
- (818) 495-4610
- Mailing Fax
- (949) 204-0345
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-28-2017
- Last Update Date
- 01-24-2023
- Code Navigator
Location Map
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| XC0009601 | MEDICAID (05) | CA |
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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. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 6 | 4 | 7 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 6 | 8 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 6 + 8 + 7 + 6 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1497264733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497264733, enumerated in the NPI registry as an "organization" on September 28, 2017
The provider is located at 26800 Crown Valley Pkwy Ste 360 Mission Viejo, Ca 92691 and the phone number is (949) 364-2773
This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 28, 2017. 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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