Organization Active NPI

Amity San Diego LLC

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1376347963
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AMITY SAN DIEGO LLC
Practice address
3565 Del Rey St Ste 202
San Diego, CA 92109-5703
Phone
(888) 666-4405
Fax
(657) 441-0142
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Patrick Robert Santosuosso
Title
Ceo
Phone
(561) 526-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3565 Del Rey St Ste 202
San Diego, CA 92109-5703

Mailing address

1800 Okeechobee Rd Ste 200
West Palm Beach, FL 33409-5207
Phone (657) 441-0141

National Provider Directory

National Provider Directory

Locations

3565 Del Rey St
Ste 202
San Diego, CA 92109
Phone (657) 441-0141

1800 Okeechobee Rd
Ste 200
West Palm Beach, FL 33409

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1376347963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 OKEECHOBEE RD STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095207",
            "telephone_number": "657-441-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 DEL REY ST STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095703",
            "telephone_number": "888-666-4405",
            "fax_number": "657-441-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY SAN DIEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "SANTOSUOSSO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-526-6697"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "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 Jun 18, 2025; 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.