OrganizationActive
Active Life Wound Clinic a Professional Nursing Corporation
NPI 1801253323 · Nurse Practitioner · Sacramento, CA
Provider details
- NPI number
- 1801253323
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeff Souza, President(916) 436-3015
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
2 Scripps Dr Ste 202
Sacramento, CA 95825-6207
Phone: (916) 436-3015
Street-level locationGet directions
Mailing address
Po Box 661587
Sacramento, CA 95866-1587
Additional practice locations (2)
- 406 Sunrise Ave Ste 250Roseville, CA 95661-4147Phone: (916) 957-1840Fax: (916) 957-1885
- 1526 Plumas Ct Ste 250Yuba City, CA 95991-2961Phone: (888) 525-0255Fax: (888) 525-1585
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.