Organization Active NPI

Ssmib Opco LLC

  • Assisted Living Facility
  • Imperial Beach, CA
National Provider Identifier
1750205266
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SSMIB OPCO LLC
Practice address
740 7TH St
Imperial Beach, CA 91932-2106
Phone
(619) 500-7046
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Matthew Delbruegge
Title
Principal
Phone
(314) 495-1867

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

740 7TH St
Imperial Beach, CA 91932-2106

Mailing address

740 7TH St
Imperial Beach, CA 91932-2106
Phone (619) 500-7046

Other names 1

  • Sun and Sea Manor Other name

National Provider Directory

National Provider Directory

Locations

740 7th St
Imperial Beach, CA 91932
Phone (619) 429-0633

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1750205266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 7TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322106",
            "telephone_number": "619-500-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 7TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322106",
            "telephone_number": "619-500-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSMIB OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "DELBRUEGGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "314-495-1867"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun and Sea Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Imperial Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.