Active Health Clinic LLC
NPI 1417767518 · General Practice Physician · Vero Beach, FL
Active Health Clinic LLC is a General Practice Physician organization in Vero Beach, FL (NPI 1417767518).
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
Frequently asked questions
- What is Active Health Clinic LLC's NPI number?
- Active Health Clinic LLC's National Provider Identifier (NPI) is 1417767518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Health Clinic LLC?
- Active Health Clinic LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Active Health Clinic LLC located?
- Active Health Clinic LLC's practice location on file with NPPES is 1948 Ocean Ridge Cir, Vero Beach, FL 32963-2730.
- What is Active Health Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Health Clinic LLC is (415) 279-0947.
- Who is the authorized official for Active Health Clinic LLC?
- The authorized official listed on Active Health Clinic LLC's NPPES record is Kassra Michael Khazalpour, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Health Clinic LLC's NPI active?
- Yes — Active Health Clinic LLC's NPI (1417767518) is active in the NPPES registry as of the last update on 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.