Forever Active Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOREVER ACTIVE INC

Practice address

1421 Railroad St
Glendale, CA 91204-2715

Phone

(626) 389-8790

Fax

(626) 466-3020

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jasmine Libarian

Title

President

Phone

(626) 389-8790

Specialties & licenses 1

Addresses

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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1457654253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 RAILROAD ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042715",
            "telephone_number": "626-389-8790",
            "fax_number": "626-466-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 RAILROAD ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042715",
            "telephone_number": "626-389-8790",
            "fax_number": "626-466-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER ACTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "LIBARIAN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-389-8790",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foothill Emergency Physicians
• Foothill Ranch Surgery & Medical Center, Inc.
• Foothill Surgical Specialists Medical Group
• For All Hospice
• Forever Active Cbas
• Maryellen Forman
• Juliet Formeloza
• Madlen Pashinian Foroughmand, LMFT
• Farnaz Foroutanzad Dardashti
• Diana Kathleen Fort, MD

• Durable Medical Equipment & Medical Supplies in Glendale, CA
• Providers in Glendale, 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 Dec 21, 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.