Active NPI
Sober Life Recovery Solutions LLC
- Substance Abuse Rehabilitation Facility
- San Diego, CA
National Provider Identifier
1083586523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SOBER LIFE RECOVERY SOLUTIONS LLC
- Practice address
- 8619 Jackie Dr
San Diego, CA 92119-1414 - Phone
- (619) 542-9542
- Fax
- (619) 566-4979
- NPI assigned
- Sep 23, 2025
- Organization subpart
- Yes
- Parent organization
- SOBER LIFE RECOVERY SOLUTIONS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deomel Soriano, PMHNP
- Title
- Ceo
- Phone
- (619) 542-9542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
8619 Jackie Dr
San Diego, CA 92119-1414
Mailing address
3930 4TH Ave Ste 300
San Diego, CA 92103-3119
Phone (619) 542-9542
Other names 1
- Hidden Leaf Wellness
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2344281 | Sober Life Recovery Solutions LLC | Certificate of waiver | May 19, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Sober Life Recovery Solutions LLC
- Part of
- Sober Life Recovery Solutions LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Diego, CA
- NPI 1386148625
-
- Substance Abuse Rehabilitation Facility
- San Diego, CA
- NPI 1760330435
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Diego, CA
- NPI 1386148625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1083586523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 4TH AVE STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033119",
"telephone_number": "619-542-9542",
"fax_number": "619-566-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 JACKIE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921191414",
"telephone_number": "619-542-9542",
"fax_number": "619-566-4979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOBER LIFE RECOVERY SOLUTIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOBER LIFE RECOVERY SOLUTIONS LLC",
"enumeration_date": "2025-09-23",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "SORIANO",
"authorized_official_first_name": "DEOMEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-542-9542",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hidden Leaf Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.