Active Change Recovery Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ACTIVE CHANGE RECOVERY INC

Practice address

229 E Weber Ave Ste 103
Stockton, CA 95202-2751

Phone

(209) 921-0971

NPI assigned

Oct 21, 2025

Last updated

Oct 21, 2025By 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

Martin SisnerozNPI 1093517500

Title

Ceo

Phone

(209) 921-0971

Specialties & licenses 3

Addresses

Tax ID family

Active Change Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Active Change Recovery Inc

  • Case Management Agency
  • Stockton, CA
  • NPI 1508648163
  NPD tax ID

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.

• Martin Sisneroz Jr.

  • Case Manager/Care Coordinator
  • Stockton, CA
  • NPI 1093517500
  NPD Authorized official

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1801763214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 BARTLETT CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E WEBER AVE STE 103",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022751",
            "telephone_number": "209-921-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1894 Gordon Verner Cir",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952066138",
            "country_code": "US",
            "telephone_number": "209-921-0971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3541 Tom Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952066140",
            "country_code": "US",
            "telephone_number": "209-921-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE CHANGE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "SISNEROZ",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-921-0971"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Anthony Acosta Jr.
• Sasha Acosta
• Tyler Cabreros Acosta
• Action Asap Transport Inc
• Active Change Recovery Inc
• Active Life Adult Day Care, Inc. (Active Life Adult Day Health Care Center)
• Emily Rose Acton, PT, DPT
• Juan Gilberto Acuna
• Jack Ryan Adair
• Susan Adames

• Non-emergency Medical Transport (VAN) in Stockton, CA
• Providers in Stockton, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.