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AMITY SAN DIEGO LLC
NPI 1376347963
Substance Abuse Rehabilitation Facility in San Diego, CA

Active since April 02, 2025CLIA 05D2329346 · Waiver
3565 DEL REY ST STE 202, SAN DIEGO, CA 92109(888) 666-4405(657) 441-0142 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 18, 2025, Apr 2, 2025 (2 updates tracked since 2025).

About Amity San Diego Llc NPPES

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

AMITY SAN DIEGO LLC (NPI 1376347963) is a healthcare organization registered as a substance abuse rehabilitation facility in San Diego, California and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Patrick Robert Santosuosso, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376347963
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAMITY SAN DIEGO LLC
Location Address3565 DEL REY ST STE 202San Diego, CA 92109-5703
Mailing Address1800 Okeechobee Rd Ste 200West Palm Beach, FL 33409-5207 · (657) 441-0141
Phone(888) 666-4405
Fax(657) 441-0142
Organization SubpartNo
Authorized OfficialPatrick Robert SantosuossoCeo · (561) 526-6697
Enumeration DateApril 2, 2025
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1376347963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
3565 DEL REY ST STE 202, San Diego, CA 92109
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2329346

Amity San Diego LLC · San Diego, CA
Active · expires Aug 26, 2027
CLIA Number05D2329346
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorPamela Tambini
Laboratory Phone(888) 666-4405
Laboratory LocationAmity San Diego LLC3565 Del Rey Street, Ste 202, San Diego, CA 92109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Amity San Diego LLC's NPI number?

The NPI number for Amity San Diego LLC is 1376347963. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Amity San Diego LLC located?

Amity San Diego LLC is located at 3565 Del Rey St Ste 202, San Diego, CA 92109. The listed phone number is (888) 666-4405.

What is Amity San Diego LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Amity San Diego LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2329346) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amity San Diego LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.