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Active Life, LLC

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

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

National Provider Identifier

1568961977

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Active Life, LLC
Practice address 1135 S Sunset Ave Ste 302, West Covina, CA, 91790
Fax (626) 360-3220
Enumeration date Feb 12, 2018
Last updated in NPPES Jan 24, 2023

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Pallavi Nemani
Title Compliance Officer

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-24. Verify at npiregistry.cms.hhs.gov.
Where is Active Life, LLC located?
The practice location on file with NPPES is in West Covina, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-24.