Abc Sober Living

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

370116AP Issued in CA

Legal business name

ABC SOBER LIVING

Practice address

810 Emerald St
San Diego, CA 92109-2712

Phone

(619) 925-1879

Fax

(858) 274-8700

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

David Powers

Title

Program Administrator

Phone

(619) 925-1879

Specialties & licenses 1

Addresses

Other names 1

• Soledad House Other name

Tax ID family

Abc Sober Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Abc Sober Living

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1447898473
  NPD tax ID

Locations

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1881963932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EMERALD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092712",
            "telephone_number": "619-925-1879",
            "fax_number": "858-274-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EMERALD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092712",
            "telephone_number": "619-925-1879",
            "fax_number": "858-274-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "619-925-1879"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370116AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soledad House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jean-Paul Abboud, M.D., PH.D.
• Malakai Abboud
• Austin Louise Abbruscato, DC
• Abc Home Health Care LLC
• Abc Sober Living
• Abc Trauma, Inc.
• Emily A. Abcede, ARNP, CPNP
• Geraldine Quinto Abcede, RN
• Ali Abdalla
• Alexa Christine Abdallah, MD

• Substance Abuse Rehabilitation Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.