Organization Active NPI

Active Feet, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1770625857
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACTIVE FEET, INC.
Practice address
4545 La Jolla Village Dr
#9026
San Diego, CA 92122-1241
Phone
(858) 453-5057
Fax
(858) 453-5058
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Jack A Reingold, D.P.M.
Title
President
Phone
(858) 792-1142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

4545 La Jolla Village Dr
#9026
San Diego, CA 92122-1241

Mailing address

550 Lomas Santa Fe Dr
Suite B
Solana Beach, CA 92075-1343
Phone (858) 792-1142

Other names 1

  • The Active Foot Store Doing business as

National Provider Directory

National Provider Directory

Locations

4545 La Jolla Village Dr
#9026
San Diego, CA 92122
Phone (858) 453-5057

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1770625857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LOMAS SANTA FE DR",
            "address_2": "SUITE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751343",
            "telephone_number": "858-792-1142",
            "fax_number": "858-755-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 LA JOLLA VILLAGE DR",
            "address_2": "#9026",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221241",
            "telephone_number": "858-453-5057",
            "fax_number": "858-453-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FEET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "REINGOLD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-792-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Active Foot Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.