OrganizationActive
Active Life, LLC
NPI 1366953168 · Prosthetic/Orthotic Supplier · Palmdale, CA
Active Life, LLC is a Prosthetic/Orthotic Supplier organization in Palmdale, CA (NPI 1366953168).
Provider details
- NPI number
- 1366953168
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Spencer Doty, President(858) 616-7724
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
190 Sierra Ct Ste A4
Palmdale, CA 93550-7608
Phone: (818) 495-4610
Fax: (818) 484-2812
Street-level locationGet directions
Mailing address
1577 E Chevy Chase Dr Ste 210
Glendale, CA 91206-4741
Registry dates
- Enumerated
- 2017-10-19
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Frequently asked questions
- What is Active Life, LLC's NPI number?
- Active Life, LLC's National Provider Identifier (NPI) is 1366953168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life, LLC?
- Active Life, LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Active Life, LLC located?
- Active Life, LLC's practice location on file with NPPES is 190 Sierra Ct Ste A4, Palmdale, CA 93550-7608.
- What is Active Life, LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Life, LLC is (818) 495-4610.
- Who is the authorized official for Active Life, LLC?
- The authorized official listed on Active Life, LLC's NPPES record is Spencer Doty, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life, LLC's NPI active?
- Yes — Active Life, LLC's NPI (1366953168) is active in the NPPES registry as of the last update on 2021-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.