Active NPI
Active Feet, Inc.
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
National Provider Identifier
1770625857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Escondido, CA
- NPI 1659375103
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.