SOAP MAT, LLC
NPI 1811719438
Community/Behavioral Health in San Diego, CA

Active since October 25, 2024
6425 UNIVERSITY AVE, SAN DIEGO, CA 92115(760) 983-2222(760) 982-2410 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2025, Nov 20, 2024 (2 updates tracked since 2024).

  • Organization
  • Community/Behavioral Health

About SOAP MAT, LLC

This page provides the complete NPI Profile along with additional information for Soap Mat, Llc, a provider established in San Diego, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1811719438 assigned on October 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Francisco Marc Gonzalo Ma (Regional Director)

NPI
1811719438 Verify this NPI
Provider Name
SOAP MAT, LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
6425 UNIVERSITY AVE SAN DIEGO, CA 92115
Location Phone
(760) 983-2222
Location Fax
(760) 982-2410
Mailing Address
6425 UNIVERSITY AVE SAN DIEGO, CA 92115
Mailing Phone
(760) 983-2222
Mailing Fax
(760) 982-2410
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-25-2024
Last Update Date
03-05-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FRANCISCO MARC GONZALO MA

Authorized Official Title
REGIONAL DIRECTOR
Authorized Official Phone
(760) 305-7528

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
6425 UNIVERSITY AVE
SAN DIEGO, CA 92115
Licensed Vocational Nurse
6425 UNIVERSITY AVE
SAN DIEGO, CA 92115
Counselor (Addiction (Substance Use Disorder))
6425 UNIVERSITY AVE
SAN DIEGO, CA 92115
Counselor (Addiction (Substance Use Disorder))
6425 UNIVERSITY AVE
SAN DIEGO, CA 92115
Peer Specialist
6425 UNIVERSITY AVE
SAN DIEGO, CA 92115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811719438, enumerated as an "organization" on October 25, 2024.

The provider is located at 6425 UNIVERSITY AVE SAN DIEGO, CA 92115 and the phone number is (760) 983-2222.

Community/Behavioral Health with taxonomy code 251S00000X.