OrganizationActive
Active Change Recovery Inc
NPI 1801763214 · Non-emergency Medical Transport (VAN) · Stockton, CA
Provider details
- NPI number
- 1801763214
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Martin Sisneroz, Ceo(209) 921-0971
Specialties & taxonomies
Transportation Services
- Community/Behavioral Health Agency251S00000X
Agencies
- Respite Care385H00000X
Respite Care Facility
Practice location
229 E Weber Ave Ste 103
Stockton, CA 95202-2751
Phone: (209) 921-0971
Approximate (ZIP-level) locationGet directions
Mailing address
1738 Bartlett Ct
Stockton, CA 95206-6358
Additional practice locations (2)
- 1894 Gordon Verner CirStockton, CA 95206-6138Phone: (209) 921-0971
- 3541 Tom LnStockton, CA 95206-6140Phone: (209) 921-0971
Registry dates
- Enumerated
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.