Organization Active NPI

Salus Haven LLC

  • Substance Abuse Rehabilitation Facility
  • Lakeside, CA
National Provider Identifier
1730015579
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SALUS HAVEN LLC
Practice address
12043 Lacie LN
Lakeside, CA 92040-5444
Phone
(619) 206-0040
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Mrs. Diane Magana
Title
Owner
Phone
(619) 206-0040

Specialties & licenses 1

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

Addresses

Primary practice location

12043 Lacie LN
Lakeside, CA 92040-5444

Mailing address

122 Sierra Way
Chula Vista, CA 91911-1434
Phone (619) 206-0040

Other practice location 1

12045 Lacie Ln
Lakeside, CA 92040-5444
Phone (619) 206-0040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1730015579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SIERRA WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111434",
            "telephone_number": "619-206-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12043 LACIE LN",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920405444",
            "telephone_number": "619-206-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12045 Lacie Ln",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "CA",
            "postal_code": "920405444",
            "country_code": "US",
            "telephone_number": "619-206-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALUS HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "MAGANA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-206-0040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.