OrganizationActive
Active Life, LLC
NPI 1215983366 · Prosthetic/Orthotic Supplier · Glendale, CA
Provider details
- NPI number
- 1215983366
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Pallavi Nemani, Compliance Officer(512) 552-6311
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES 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
1577 E Chevy Chase Dr
Suite 210
Glendale, CA 91206-4107
Phone: (818) 495-4610
Fax: (818) 484-2812
Street-level locationGet directions
Mailing address
124 Alvarado Dr Se
Albuquerque, NM 87108-2940
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.