Active Health Medical Group, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

A64448 Issued in CA

Legal business name

ACTIVE HEALTH MEDICAL GROUP, INC.

Practice address

16769 Bernardo Center Dr Ste K20
San Diego, CA 92128-2546

Phone

(858) 753-8090

NPI assigned

Sep 11, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alex Kamsi, D.C.NPI 1851405955

Title

Chief Financial Officer

Phone

(858) 753-8090

Specialties & licenses 2

Addresses

Locations

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.

• Alex Kamsi, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1851405955
  Authorized official Same address or phone

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1801221767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16769 BERNARDO CENTER DR STE K20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16769 BERNARDO CENTER DR STE K20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282546",
            "telephone_number": "858-753-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "KAMSI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-753-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A64448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Action Medical Midwest
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• Active Adults Program LLC
• Active Feet, Inc. (The Active Foot Store)
• Active Feet, Inc. (The Active Foot Store)
• Active Life, LLC
• Active Medical Equipment, Inc
• Active Potential Incorporated
• Activerx Physical Therapy
• Activus Transport LLC

• Interventional Pain Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.