MEDICARE: ACTIVE FEET, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1770625857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTIVE FEET, INC.

Provider Business Mailing Address
First Line	:	550 LOMAS SANTA FE DR
Second Line	:	SUITE B
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-1343
Country	:	US
Telephone Number	:	858-792-1142
Fax Number	:	858-755-6785

Provider Business Practice Location Address
First Line	:	4545 LA JOLLA VILLAGE DR
Second Line	:	#9026
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1241
Country	:	US
Telephone Number	:	858-453-5057
Fax Number	:	858-453-5058

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JACK A REINGOLD
Credential	:	D.P.M.
Telephone Number	:	858-792-1142

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	05/08/2008

Similar Medicare Providers

1952473779 — ROBERT HICKMAN MD
Practice Location Address:

4545 LA JOLLA VILLAGE DR STE C5
SAN DIEGO, CA
92122-1241

Practice Phone: 888-663-6331
Practice Fax:

1598057697 — MR. EINAR GRONDAL L. AC.
Practice Location Address:

1241 ESSEX ST , # 1
SAN DIEGO, CA
92103-3324

Practice Phone: 619-688-2480
Practice Fax:

1255770764 — DR. ARTHUR S CUMMINS M.D.
Practice Location Address:

4436 PLUMOSA WAY
SAN DIEGO, CA
92103-1241

Practice Phone: 619-260-8455
Practice Fax: 519-260-8455

1366090029 — SHUR-IN, INC.
Practice Location Address:

7452 ROWENA STREET
SAN DIEGO, CA
92119-1241

Practice Phone: 617-224-2983
Practice Fax:

1467262808 — PREFERENTIAL FORESIGHTS, LLC.
Practice Location Address:

4336 OREGON ST APT 4
SAN DIEGO, CA
92104-1241

Practice Phone: 619-389-6025
Practice Fax:

1346050374 — PAT UBARIEKE
Practice Location Address:

4336 OREGON ST APT 4
SAN DIEGO, CA
92104-1241

Practice Phone: 619-389-6025
Practice Fax:

Directions to “ACTIVE FEET, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.