Activecarerx Providers, LLC

Primary specialty

Federal Public Health Clinic/CenterTaxonomy code 261QP0904X

Legal business name

ACTIVECARERX PROVIDERS, LLC

Practice address

4504 San Blas Ave
Woodland Hills, CA 91364-5429

Phone

(818) 512-1991

Fax

(818) 592-0494

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jason Caramanis

Title

Owner

Phone

(818) 512-1991

Specialties & licenses 1

Addresses

Other names 1

• None Applicable Former legal business name

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1871995357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 SAN BLAS AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645429",
            "telephone_number": "818-512-1991",
            "fax_number": "818-592-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 SAN BLAS AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645429",
            "telephone_number": "818-512-1991",
            "fax_number": "818-592-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVECARERX PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "CARAMANIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-512-1991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None Applicable",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ariana Esme Aceves
• Andrea Benkle Ackerman, PH.D.
• Jolette Guadalupe Acosta
• Active Body Physical Therapy Inc
• Active Recovery Solutions LLC
• Ad Meliora Advanced Practice Nursing Corp
• Ani Josephine Adamian, PHARM D
• Isabelle Adams
• Nyesha Adams
• Nancy Lang Adamson, M.S., LMFT, LPCC

• Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.