Active Life Medical Products Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ACTIVE LIFE MEDICAL PRODUCTS INC

Practice address

3030 Arden Way
Sacramento, CA 95825-2049

Phone

(209) 943-2118

Fax

(209) 939-1212

NPI assigned

Jul 2, 2008

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ara Karamanoukian

Title

Ceo

Phone

(800) 319-2336

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1023271822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252049",
            "telephone_number": "209-943-2118",
            "fax_number": "209-939-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252049",
            "telephone_number": "209-943-2118",
            "fax_number": "209-939-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE MEDICAL PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KARAMANOUKIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-319-2336"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023271822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milan Acosta
• Natalie Acosta
• Reanne Elizabeth Acosta
• Laqreshea Kechay Acox
• Jaime L Acrell
• Active Life Wound Center a Professional Medical Corporation
• Active Life Wound Clinic a Professional Nursing Corporation
• Ashley Acuff
• Rosa Maria Acuitlapa
• Kelcie Acuna

• Durable Medical Equipment & Medical Supplies in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.