Active Life, LLC

Active Life, LLC is a healthcare organization registered as Prosthetic/Orthotic Supplier in Northridge, CA, holding Type 2 (organization) NPI 1902852056 since 2006. The authorized official on file is Pallavi Nemani, Compliance Officer.

✓ Active NPI ✓ Valid NPI checksum

NPI	1902852056
Entity type	Organization (Type 2)
Legal business name	Active Life, LLC
Practice address	18433 ROSCOE BLVD STE 108, Northridge, CA, 91325
Phone	8188359441
Fax	8185397962
Enumeration date	2006-05-26
Last updated in NPPES	2023-01-24

Authorized official

Name	Pallavi Nemani
Title	Compliance Officer
Phone	5125526311

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
335E00000X	Prosthetic/Orthotic Supplier	Primary	—	CA

Other identifiers

Identifier	Type	State	Issuer
XC0009601	Medicaid	CA	—

Copy-ready billing details

Provider: Active Life, LLC
NPI: 1902852056
Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier)
Address: 18433 ROSCOE BLVD STE 108, Northridge, CA, 91325

Verify this record

Cross-check NPI 1902852056 against the authoritative CMS record: view Active Life, LLC on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

Where is Active Life, LLC located?

The practice location on file with NPPES is in Northridge, CA.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-01-24.