Organization Active NPI

M.a.R.Y. Medical, LLC

Doing business as ActivStyle

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1396786356
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50800 Issued in CA
Legal business name
M.A.R.Y. MEDICAL, LLC
Doing business as
ActivStyle
Practice address
4656 E Dakota Ave
Suite 104
Fresno, CA 93726-4727
Phone
(559) 440-6808
Fax
(559) 456-1848
NPI assigned
Jun 9, 2006
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVSTYLE HOLDING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Darrell Douglas Rawlings
Title
Ceo
Phone
(612) 895-7815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50800 CA Primary

Addresses

Primary practice location

4656 E Dakota Ave
Suite 104
Fresno, CA 93726-4727

Mailing address

1055 Westgate Dr Ste 100
Saint Paul, MN 55114-1451
Phone (888) 280-8632

Other identifiers 1

IdentifierTypeStateIssuer
9974340MedicaidCA

Other names 1

  • ActivStyle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041053 CA DME Supplier - Medical Supply Company 7113048380 Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Activstyle4656 E Dakota Ave, Fresno, CA 93726-4727(559) 440-6808 Commodes, Urinals, Bedpans|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory

Locations

4656 E Dakota Ave
Ste 104
Fresno, CA 93726
Phone (559) 440-6808

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1396786356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTGATE DR STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141451",
            "telephone_number": "888-280-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 E DAKOTA AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264727",
            "telephone_number": "559-440-6808",
            "fax_number": "559-456-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.R.Y. MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVSTYLE HOLDING COMPANY",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "RAWLINGS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-895-7815"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9974340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActivStyle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ActivStyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.