ACTIVE HEALTH CLINIC – General Practice Physician, NPI 1417767518

General Practice Physician

ACTIVE HEALTH CLINIC is a healthcare provider. based in Vero beach, Florida. specializing in General Practice Physician. The NPI Number for ACTIVE HEALTH CLINIC is 1417767518

Main info

Organization

Name

ACTIVE HEALTH CLINIC

NPI

1417767518

Phone

(415) 279-0947

Address

1948 OCEAN RIDGE CIR

Authorized Official

DR. KASSRA MICHAEL KHAZALPOUR PRESIDENT MD, MBA

Enumeration Date

10 January 2025

Last Update Date

27 January 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience27

Completeness80

Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for ACTIVE HEALTH CLINIC

1948 OCEAN RIDGE CIR
VERO BEACH, FL 329632730
Phone: (415) 279-0947
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32963)

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Reviews

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Frequently asked questions

What unique ID ties claims to ACTIVE HEALTH CLINIC?

NPI 1417767518 is assigned to ACTIVE HEALTH CLINIC under the national enumeration system.

Is ACTIVE HEALTH CLINIC currently active in the NPI registry?

CMS-published data lists ACTIVE HEALTH CLINIC as an active registrant.

What does ACTIVE HEALTH CLINIC treat or focus on?

Patients typically see ACTIVE HEALTH CLINIC under the specialty General Practice Physician. Clinical services aligned with this taxonomy classification.

Where does public data place ACTIVE HEALTH CLINIC?

The snapshot lists Vero Beach, Florida for ACTIVE HEALTH CLINIC; download NPPES for the complete set.

Is ACTIVE HEALTH CLINIC a real provider?

This page reflects official NPPES data for NPI 1417767518. Always confirm identity and privileges with the practice and licensing boards.