Active Feet, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ACTIVE FEET, INC.

Practice address

5490 Complex St Ste 605
San Diego, CA 92123-1126

Phone

(858) 453-5057

Fax

(858) 453-5058

NPI assigned

Oct 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Philip Larkins, D.P.M.NPI 1659375103

Title

President

Phone

(858) 453-5057

Specialties & licenses 2

Addresses

Other names 1

• The Active Foot Store Doing business as

Locations

Practitioners 1

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

• Philip Edward Larkins, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Escondido, CA
  • NPI 1659375103
  NPD Authorized official

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

{
    "created_epoch": "1223769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668211200000",
    "number": "1871745653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 COMPLEX ST STE 605",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231126",
            "telephone_number": "858-453-5057",
            "fax_number": "858-453-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 COMPLEX ST STE 605",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231126",
            "telephone_number": "858-453-5057",
            "fax_number": "858-453-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FEET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-12",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A",
        "authorized_official_last_name": "LARKINS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-453-5057",
        "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"
        },
        {
            "organization_name": "The Active Foot Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.