Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Active Adults Program LLC

Organization Case Management Agency · NPI 1093685133

Active Adults Program LLC is a Case Management Agency in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7940 Silverton Ave Ste 204
San Diego, CA 92126-6341
Phone: (619) 908-2643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1093685133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Estreanda Fulford — Ceo · (619) 908-2643
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address11475 Hadar Dr, San Diego, CA 92126-1361

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