PROSPEROUS HEALTH SAN DIEGO, LLC
NPI 1245037019
Clinic/Center - Adult Mental Health in San Diego, CA

Active since February 27, 2025
9909 HUENNEKENS ST STE 110, SAN DIEGO, CA 92121(619) 669-3295 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Nov 4, 2025, Mar 5, 2025 and 1 more (4 updates tracked since 2025).

About Prosperous Health San Diego, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPEROUS HEALTH SAN DIEGO, LLC (NPI 1245037019) is a healthcare organization registered as an adult mental health in San Diego, California and active in the NPI registry since February 2025. The organization maintains 2 additional practice locations and lists Gerald R Shirey, Program Director, as its authorized official.

NPPES Registry Identity

NPI1245037019
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePROSPEROUS HEALTH SAN DIEGO, LLC
Location Address9909 HUENNEKENS ST STE 110San Diego, CA 92121-2928
Mailing Address9909 Huennekens St Ste 110San Diego, CA 92121-2928 · (858) 500-8000
Organization SubpartNo
Authorized OfficialGerald R ShireyProgram Director · (858) 500-8000
Enumeration DateFebruary 27, 2025
Last NPPES UpdateFebruary 18, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
NPI 1245037019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
9909 HUENNEKENS ST STE 110, San Diego, CA 92121

Secondary Practice Locations 2

Location 19909 Huennekens St Ste 225San Diego, CA 92121-2800 · Phone (619) 669-3295
Location 29909 Huennekens St Ste 230San Diego, CA 92121-2800 · Phone (619) 669-3295

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
9909 HUENNEKENS ST STE 110
SAN DIEGO, CA 92121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prosperous Health San Diego, LLC's NPI number?

The NPI number for Prosperous Health San Diego, LLC is 1245037019. It was assigned to this organization in the NPPES registry on February 27, 2025.

Where is Prosperous Health San Diego, LLC located?

Prosperous Health San Diego, LLC is located at 9909 Huennekens St Ste 110, San Diego, CA 92121. The listed phone number is (619) 669-3295.

What is Prosperous Health San Diego, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Prosperous Health San Diego, LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.