SD Sober Living LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SD SOBER LIVING LLC

Practice address

10320 Prospect Ave
Santee, CA 92071-4415

Phone

(619) 625-0769

NPI assigned

Feb 12, 2026

Last updated

Feb 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Deren

Title

Owner/Ceo

Phone

(619) 625-0769

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1871445817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 PEPPERVILLA DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920211212",
            "telephone_number": "619-625-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 PROSPECT AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714415",
            "telephone_number": "619-625-0769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1746 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920211406",
            "country_code": "US",
            "telephone_number": "619-625-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SD SOBER LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "DEREN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "619-625-0769"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Santee, CA
• Providers in Santee, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.