Family Medicine
ACTIVE LIFE WOUND CENTER A PROFESSIONAL MEDICAL CORPORATION
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1396553616 · enumerated 2024-12-19 · record updated 2024-12-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JEFFREY SOUZA, Compliance Manager · (916) 436-3015
Other names: ACTIVE LIFE WOUND CENTER
Addresses and phones
- Mailing address PO BOX 661587, SACRAMENTO, CA, 95866-1587 (916) 436-3015 Google Maps Apple Maps OpenStreetMap
- Practice location 2 SCRIPPS DR STE 202, SACRAMENTO, CA, 95825-6207 (916) 436-3015 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse, Wound Care 163WW0000X
- Dermatology 207N00000X
- Family Medicine 207Q00000X · Primary
- Durable Medical Equipment & Medical Supplies 332B00000X
- Nurse Practitioner 363L00000X
In this directory
Locations and evidence
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Practice location
SACRAMENTO, CA, 958256207
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.