OrganizationActive
Activecarerx Wellness, LLC
NPI 1477981066 · Clinic/Center · Newport Beach, CA
Provider details
- NPI number
- 1477981066
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Idris Clark, Partner(949) 757-4651
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1301 Dove St
Suite 800
Newport Beach, CA 92660-2412
Phone: (949) 757-0571
Fax: (949) 757-1056
Street-level locationGet directions
Mailing address
1301 Dove St
Newport Beach, CA 92660-2412
Registry dates
- Enumerated
- 2013-10-17
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.