OrganizationActive
Active Adults Program LLC
NPI 1093685133 · Case Management Agency · San Diego, CA
Active Adults Program LLC is a Case Management Agency organization in San Diego, CA (NPI 1093685133).
Provider details
- NPI number
- 1093685133
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Estreanda Fulford, Ceo(619) 908-2643
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7940 Silverton Ave Ste 204
San Diego, CA 92126-6341
Phone: (619) 908-2643
Street-level locationGet directions
Mailing address
11475 Hadar Dr
San Diego, CA 92126-1361
Registry dates
- Enumerated
- 2025-11-05
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Frequently asked questions
- What is Active Adults Program LLC's NPI number?
- Active Adults Program LLC's National Provider Identifier (NPI) is 1093685133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Adults Program LLC?
- Active Adults Program LLC is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Active Adults Program LLC located?
- Active Adults Program LLC's practice location on file with NPPES is 7940 Silverton Ave Ste 204, San Diego, CA 92126-6341.
- What is Active Adults Program LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Adults Program LLC is (619) 908-2643.
- Who is the authorized official for Active Adults Program LLC?
- The authorized official listed on Active Adults Program LLC's NPPES record is Estreanda Fulford, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Adults Program LLC's NPI active?
- Yes — Active Adults Program LLC's NPI (1093685133) is active in the NPPES registry as of the last update on 2025-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.