Active Mobile Medical Group, Inc.
NPI 1184370199ActiveOrganization· Family Medicine· Los Angeles, CA
Family Medicine in Los Angeles, California, registered in NPPES in February 2022. The authorized official on file is Joanna Balasico, RN, Vice President.
Overview
| NPI | 1184370199 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2022 |
| Last updated in NPPES | Mar 18, 2022 |
| Certified by provider | Mar 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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