Active Life Wound Center A Professional Medical Corporation
Family Medicine
2 Scripps Dr Ste 202, Sacramento
California, 95825-6207
916-436-3015 Active Life Wound Center A Professional Medical Corporation is a Family Medicine in Sacramento, California. It is located at 2 Scripps Dr Ste 202, Sacramento and it's customer support contact number is 916-436-3015. The authorized person of Active Life Wound Center A Professional Medical Corporation is Jeffrey Souza who is Compliance Manager of this DME and his contact number is 916-436-3015. Active Life Wound Center A Professional Medical Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Active Life Wound Center A Professional Medical Corporation is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
DME Supplier Details:
Active Life Wound Center A Professional Medical Corporation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Active Life Wound Center A Professional Medical Corporation |
| Type: | Family Medicine |
| Location: | 2 Scripps Dr Ste 202, Sacramento,
California, 95825-6207 |
| Phone: | 916-436-3015 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey Souza |
| Position: | Compliance Manager |
| Contact Number: | 916-436-3015 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1396553616 |
| NPI Enumeration Date: | 19 Dec, 2024 |
| NPI Last Update On: | 19 Dec, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Life Wound Center A Professional Medical Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Wound Care | | | Secondary | |
| Dermatology | | | Secondary | |
| Nurse Practitioner | | | Secondary | |
Medicare Enrollment:
Active Life Wound Center A Professional Medical Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5991214918 | O20250602002335 | Active Life Wound Center A Professional Medical Corporation | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 661587,
Sacramento, California |
| Zip: | 95866-1587 |
| Phone Number: | 916-436-3015 |
Patients can reach Active Life Wound Center A Professional Medical Corporation at
2 Scripps Dr Ste 202, Sacramento, California or can
call on customer care at 916-436-3015.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.