Active Health Clinic LLC
NPI 1417767518 · General Practice Physician · Vero Beach, FL
Provider details
- NPI number
- 1417767518
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kassra Michael Khazalpour, President(415) 279-0947
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health & Wellness Coach171400000X
Other Service Providers
- Health Educator174H00000X
Other Service Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Home Health Agency251E00000X
Agencies
- Home Infusion Agency251F00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Other names (DBA / former)
- Doing business as
- Active Health Clinic
- Doing business as
- Active Health Clinic
Registry dates
- Enumerated
- 2025-01-10
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.