Active Adults Program LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ACTIVE ADULTS PROGRAM LLC

Practice address

7940 Silverton Ave Ste 204
San Diego, CA 92126-6341

Phone

(619) 908-2643

NPI assigned

Nov 5, 2025

Organization subpart

No

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

Authorized official

Name

Estreanda FulfordNPI 1558101774

Title

Ceo

Phone

(619) 908-2643

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Estreanda Fulford

  • Day Training/Habilitation Specialist
  • San Diego, CA
  • NPI 1558101774
  NPD Authorized official

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1093685133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 HADAR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261361",
            "telephone_number": "619-908-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 SILVERTON AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266341",
            "telephone_number": "619-908-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ADULTS PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "FULFORD",
        "authorized_official_first_name": "ESTREANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-908-2643"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.