Active Life Wound Clinic a Professional Nursing Corporation
NPI 1801253323 · Nurse Practitioner · Sacramento, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Life Wound Clinic a Professional Nursing Corporation is a Nurse Practitioner organization in Sacramento, CA (NPI 1801253323).
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
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
Mailing address
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
Frequently asked questions
- What is Active Life Wound Clinic a Professional Nursing Corporation's NPI number?
- Active Life Wound Clinic a Professional Nursing Corporation's National Provider Identifier (NPI) is 1801253323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life Wound Clinic a Professional Nursing Corporation?
- Active Life Wound Clinic a Professional Nursing Corporation is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Active Life Wound Clinic a Professional Nursing Corporation located?
- Active Life Wound Clinic a Professional Nursing Corporation's practice location on file with NPPES is 2 Scripps Dr Ste 202, Sacramento, CA 95825-6207.
- What is Active Life Wound Clinic a Professional Nursing Corporation's phone number?
- The practice phone number listed in the NPPES registry for Active Life Wound Clinic a Professional Nursing Corporation is (916) 436-3015.
- Does Active Life Wound Clinic a Professional Nursing Corporation accept Medicare?
- Active Life Wound Clinic a Professional Nursing Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Active Life Wound Clinic a Professional Nursing Corporation?
- The authorized official listed on Active Life Wound Clinic a Professional Nursing Corporation's NPPES record is Jeff Souza, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life Wound Clinic a Professional Nursing Corporation's NPI active?
- Yes — Active Life Wound Clinic a Professional Nursing Corporation's NPI (1801253323) is active in the NPPES registry as of the last update on 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.