Organization Active NPI

Sober Coaches of California LLC

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1083163067
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1239753 Issued in CA
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

Updated by the provider on Oct 1, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.