Organization Active NPI

Active Family Health, PLC

  • Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1285347922
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ACTIVE FAMILY HEALTH, PLC
Practice address
27555 Ynez Rd Ste 210
Temecula, CA 92591-4678
Phone
(949) 295-5345
Fax
(949) 326-7500
NPI assigned
Dec 27, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Nancy MwaniaNPI 1730681602
Title
Nurse Practitioner
Phone
(949) 295-5345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

27555 Ynez Rd Ste 210
Temecula, CA 92591-4678

Mailing address

27555 Ynez Rd Ste 210
Temecula, CA 92591-4678
Phone (949) 295-5345

National Provider Directory

National Provider Directory

Locations

27555 Ynez Rd
Ste 210
Temecula, CA 92591
Phone (909) 614-3039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1285347922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914678",
            "telephone_number": "949-295-5345",
            "fax_number": "949-326-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914678",
            "telephone_number": "949-295-5345",
            "fax_number": "949-326-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FAMILY HEALTH, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "MWANIA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "949-295-5345"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.