AMITY SAN DIEGO LLC – NPI #1376347963
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AMITY SAN DIEGO LLC is a substance abuse rehabilitation facility located in SAN DIEGO, CA. NPPES has assigned the NPI number 1376347963 to AMITY SAN DIEGO LLC on April 02, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jun 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMITY SAN DIEGO LLC below.

NPI Profile for
AMITY SAN DIEGO LLC

NPI Number
1376347963
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMITY SAN DIEGO LLC
Primary location
3565 DEL REY ST STE 202
SAN DIEGO, CA 92109-5703
Phone: (888) 666-4405 Fax: (657) 441-0142
Mailing address
1800 OKEECHOBEE RD STE 200
WEST PALM BEACH, FL 33409-5207
Phone: (657) 441-0141 Fax:
Organization Subpart
No
Authorized Official
PATRICK SANTOSUOSSO
CEO
Phone: (561) 526-6697
Updated
Certification Date
Jun 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.