Active NPI
Active Body Supplies
- Prosthetic/Orthotic Supplier
- Tarzana, CA
National Provider Identifier
1649439969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 17786DC
- Legal business name
- ACTIVE BODY SUPPLIES
- Practice address
- 18344 Clark St
Suite 205
Tarzana, CA 91356-3505 - Phone
- (818) 704-4754
- NPI assigned
- Jun 2, 2008
- Last updated
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margaret E Perez, DC
- Title
- Director
- Phone
- (818) 704-4754
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 17786DC | CA | Primary |
Addresses
Primary practice location
18344 Clark St
Suite 205
Tarzana, CA 91356-3505
Mailing address
18344 Clark St
Suite 205
Tarzana, CA 91356-3505
Phone (818) 704-4754
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17786 | Other | CA | CA CHIROPRACTOR |
| 1598771719 | Other | NPI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Orthopedic Chiropractor
- Tarzana, CA
- NPI 1598771719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1649439969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18344 CLARK ST",
"address_2": "SUITE 205",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563505",
"telephone_number": "818-704-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18344 CLARK ST",
"address_2": "SUITE 205",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563505",
"telephone_number": "818-704-4754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE BODY SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "818-704-4754",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "17786DC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA CHIROPRACTOR",
"identifier": "17786",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1598771719",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.