Kali West, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

KALI WEST, LLC

Practice address

3790 Via de la Valle Ste 313
Del Mar, CA 92014-4252

Phone

(760) 814-8214

NPI assigned

May 13, 2022

Organization subpart

No

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

Authorized official

Name

Ashley N Amundson, EDD

Title

Compliance

Phone

(760) 343-5759

Specialties & licenses 1

Addresses

Tax ID family

Kali West LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kali West, LLC

  • Substance Abuse Rehabilitation Facility
  • Carlsbad, CA
  • NPI 1164968590
  NPD tax ID
• Kali West, LLC

  • Psychiatric Residential Treatment Facility
  • Rancho Santa Fe, CA
  • NPI 1225818826
  NPD tax ID

Locations

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1831836667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE STE 313",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144252",
            "telephone_number": "760-814-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE STE 313",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144252",
            "telephone_number": "760-814-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALI WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "760-343-5759",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Judson, MA, CCC-SLP
• Juliet E Fliegel, MD
• Justin Mercer Dental Corporation
• Michael Melvin Kaback, MD
• Lisa Kakone, RN
• Rand Kanim
• Amit Kapoor, MD
• Lila M Karoub, MFT
• Laura Karzen, LCSW
• Michael Evan Kastan, PT

• Substance Use Disorder Rehabilitation Clinic/Center in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.