Organization Active NPI

I Am Recovery Inc

  • Addiction Medicine (Preventive Medicine) Physician
  • San Diego, CA
National Provider Identifier
1225806359
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
I AM RECOVERY INC
Practice address
845 15TH St Ste 311
San Diego, CA 92101-8098
Phone
(425) 344-3949
NPI assigned
Dec 18, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Solomon AgezeNPI 1922531524
Title
Owner
Phone
(425) 344-3949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Addiction Medicine (Preventive Medicine) Physician 2083A0300X NU Primary

Addresses

Primary practice location

845 15TH St Ste 311
San Diego, CA 92101-8098

Mailing address

845 15TH St Ste 103
San Diego, CA 92101-8098
Phone (425) 344-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128000450 DC Part B Supplier - Clinic/Group Practice 4082147178 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

845 15th St
Ste 311
San Diego, CA 92101
Phone (425) 344-3949

10505 Judicial Dr
Ste 103
Fairfax, VA 22030

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1225806359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 15TH ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018098",
            "telephone_number": "425-344-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 15TH ST STE 311",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018098",
            "telephone_number": "425-344-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "AGEZE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SOLOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-344-3949"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "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 Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.