Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Active Life, LLC

Q: What is the NPI number for Active Life, LLC?

The NPI for Active Life, LLC is 1063902708, a Type 2 (organization) record in the CMS NPPES registry.

Prosthetic/Orthotic Supplier in Redlands, CA · enumerated 2018 · authorized official Pallavi Nemani, Compliance Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063902708

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Registry record

Entity type Organization (Type 2)

Legal business name Active Life, LLC

Practice address 255 Terracina Blvd Ste 205a, Redlands, CA, 92373

Phone (909) 748-0168

Fax (909) 748-5881

Enumeration date May 17, 2018

Last updated in NPPES Jan 23, 2023

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Pallavi Nemani

Title Compliance Officer

Phone (512) 552-6311

Other identifiers

Identifier	Type	State	Issuer
XC0009601	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Active Life, LLC?

The NPI for Active Life, LLC is 1063902708, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Active Life, LLC?

NPPES lists Pallavi Nemani (Compliance Officer) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-23.