Organization Active NPI

Coastline Behavioral, LLC

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1508728437
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COASTLINE BEHAVIORAL, LLC
Practice address
12030 Redcliff CT
San Diego, CA 92131-2617
Phone
(619) 542-9542
Fax
(619) 566-4979
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Deomel Soriano, PMHNP-CNPI 1164641650
Title
Owner
Phone
(619) 542-9542

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

12030 Redcliff CT
San Diego, CA 92131-2617

Mailing address

3930 4TH Ave Ste 300
San Diego, CA 92103-3119
Phone (619) 542-9542

Other names 1

  • Healthy U Recovery Scripps Doing business as

National Provider Directory

National Provider Directory

Locations

1250 Prospect St
Ste O
La Jolla, CA 92037
Phone (858) 414-0371

3930 4th Ave
Ste 300
San Diego, CA 92103
Phone (619) 320-8711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1508728437",
    "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": "12030 REDCLIFF CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312617",
            "telephone_number": "619-542-9542",
            "fax_number": "619-566-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "DEOMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-542-9542",
        "authorized_official_credential": "PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy U Recovery Scripps",
            "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 Jul 21, 2026; 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.