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

Active Medical Group of Northern Ca a Proffesional Corporation

Organization Internal Medicine Physician · NPI 1639254501

Active Medical Group of Northern Ca a Proffesional Corporation is an Internal Medicine Physician in Daly City, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1800 Sullivan Ave Ste 504
Daly City, CA 94015-2228
Phone: (650) 757-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G59110 (CA)

Record details

NPI number1639254501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Smith — President · (650) 757-8900
NPI enumeratedOctober 26, 2006
Last updated in NPPESNovember 9, 2017
Mailing address1800 Sullivan Ave, Suite 504, Daly City, CA 94015-2228

Other providers in Daly City