Active NPI
Sober Coaches of California LLC
- Case Management Agency
- San Diego, CA
National Provider Identifier
1083163067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 1239753
- Legal business name
- SOBER COACHES OF CALIFORNIA LLC
- Practice address
- 5980 Dandridge LN
Unit 208
San Diego, CA 92115-6580 - Phone
- (800) 714-4796
- Fax
- (800) 714-4796
- NPI assigned
- Oct 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Ryan Faille, BSW, CATC III
- Title
- Counselor
- Phone
- (800) 714-4796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 1239753 | CA | Primary |
Addresses
Primary practice location
5980 Dandridge LN
Unit 208
San Diego, CA 92115-6580
Mailing address
5980 Dandridge LN
Unit 208
San Diego, CA 92115-6580
Phone (800) 714-4796
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475280000000",
"number": "1083163067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 DANDRIDGE LN",
"address_2": "UNIT 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921156580",
"telephone_number": "800-714-4796",
"fax_number": "800-714-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 DANDRIDGE LN",
"address_2": "UNIT 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921156580",
"telephone_number": "800-714-4796",
"fax_number": "800-714-4796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOBER COACHES OF CALIFORNIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-01",
"last_updated": "2016-10-01",
"status": "A",
"authorized_official_last_name": "FAILLE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "800-714-4796",
"authorized_official_credential": "BSW, CATC III"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "1239753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Peter Warren Soballe, M.D.
- Jennifer Leigh Sobel, L.AC.
- Mona Sobel, M.D.
- Richard Alan Sobel, PHD
- Stephen Victor Sobel, M.D.
- Sober Life Coach LLC
- Sober Life Recovery Solutions LLC (Hidden Leaf Wellness)
- Sober Life Recovery Solutions LLC (Healthy U Behavioral Health)
- Sober Life Recovery Solutions LLC
- Amy Elizabeth Sobero, DNP, CRNP, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.