ACTIVE LIFE MEDICAL CENTER
NPI 1639392798
Chiropractor in Redwood City, CA

NPI Status: Active since April 10, 2007

Contact Information

1391 WOODSIDE RD
200
REDWOOD CITY, CA
ZIP 94061
Phone: (650) 365-7775
Fax: (365) 365-7896

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  • Organization
  • Chiropractor

About ACTIVE LIFE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Active Life Medical Center, a provider established in Redwood City, California operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1639392798 assigned on April 2007. The practitioner's primary taxonomy code is 111N00000X with license number 14813 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. Active Life Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Physicians Plus Medical Group. The authorized official of this NPI record is Mr. Harry Kevin Wong Dc (Medical Director)

NPI
1639392798
Provider Legal Name
ACTIVE LIFE MEDICAL CENTER
Other Organization Name
PHYSICIANS PLUS MEDICAL GROUP
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1391 WOODSIDE RD 200 REDWOOD CITY, CA 94061
Location Phone
(650) 365-7775
Location Fax
(365) 365-7896
Mailing Address
1391 WOODSIDE RD 200 REDWOOD CITY, CA 94061
Mailing Phone
(650) 365-7775
Mailing Fax
(365) 365-7896
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2007
Last Update Date
10-09-2007
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A chiropractor like Active Life Medical Center helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

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

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
14813
License State
CA
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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.

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.

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. HARRY KEVIN WONG DC

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(650) 365-7775

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
A69755OTHER (01)CALICENSE
14813OTHER (01)CALICENSE

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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.
1639392798
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669694718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 9 + 4 + 7 + 1 + 8 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 88

The NPI number 1639392798 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235205220DR. MANUEL BENEDICTO PANIAGUA D.C.
Individual
Chiropractor1391 WOODSIDE RD STE. 200
REDWOOD CITY, CA 94061
(650) 365-7775
1518263490DR. JERALD R HANNAH D.C.
Individual
Chiropractor1391 WOODSIDE RD SUITE 200
REDWOOD CITY, CA 94061
(650) 365-7775
1912324112 JASDEEP MANIK O.D.
Individual
Optometrist1391 WOODSIDE RD SUITE 200
REDWOOD CITY, CA 94061
(650) 368-3937
1053742965JOHANNA POON OD A PROFESSIONAL CORPORATION
Organization
Clinic/Center (Health Service)1391 WOODSIDE RD SUITE 218
REDWOOD CITY, CA 94061
(408) 209-6808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639392798, enumerated in the NPI registry as an "organization" on April 10, 2007

The provider is located at 1391 Woodside Rd 200 Redwood City, Ca 94061 and the phone number is (650) 365-7775

This medical organization specializes in Chiropractor with taxonomy code 111N00000X

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 April 10, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.